The admitting nurse gives the new long-term care facility resident a score of 20 on both the Norton Risk Assessment Scale and the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has:
a. a high probability of developing a pressure ulcer.
b. a moderate risk of developing a pressure ulcer.
c. a low risk of developing a pressure ulcer.
d. at least one pressure ulcer at the time of admission.
Question 2
To prevent pressure ulcers in the bedridden patient, the most effective intervention would be to:
a. perform skin assessment every day.
b. use a draw sheet to move patient.
c. change the patient's position every 2 hours.
d. remove wet bed linen promptly.
A nurse prepares a client for anesthesia and surgery.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
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