A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

"The client's age is part of the measurement."

The scale measures six elements."

"Each element has a range from one to five points.

"The higher the score, the higher the pressure injury risk."

Answer and Explanation

The Correct Answer is B

This response shows that the newly licensed nurse knows the components of the Braden scale, which are sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

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Correct Answer is C

Explanation

This statement shows that the client knows how to prevent dryness and cracking of the skin on the feet, which can lead to infection, while also avoiding excessive moisture between the toes, which can promote fungal growth.

Correct Answer is ["475 "]

Explanation

To calculate the client's intake for that 4-hr period in ml, we need to convert the liquid amounts from oz to ml using the following formula:

1 ml = oz * 29.5735296

Using this formula, we can convert the milk, orange juice, tea, and water amounts to ml: Milk: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Orange juice: 2 oz * 29.5735296 ml/oz = 59.1470592 ml

Tea: 3 oz * 29.5735296 ml/oz = 88.7205888 ml

Water: 4 oz * 29.5735296 ml/oz = 118.2941184 ml

The total intake from these liquids is:

88.7205888 + 59.1470592 + 88.7205888 + 118.2941184 = 354.8823552 ml We also need to add the intake from the IV infusion, which is given at a rate of 30 mL/hr for 4 hours:

30 mL/hr * 4 hr = 120 mL

The total intake from the IV infusion is:

120 mL

The total intake for that 4-hr period in ml is:

354.8823552 + 120 = 474.8823552 ml

Rounding the answer to the nearest whole number, we get:

475 ml

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A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instruction to a client who has diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

Correct Answer is ["475 "]

Explanation

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