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Author Question: The nurse is using the Braden scale to assess the patient's risk for a pressure ulcer. Which risk ... (Read 29 times)

jayhills49

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on: Jul 23, 2018
The nurse is using the Braden scale to assess the patient's risk for a pressure ulcer. Which risk categories are associated with the Braden scale? (Select all that apply.)
 
  a. Activity
  b. Friction and shear
  c. Moisture
  d. Sensory perception
  e. Cognition

Question 2

The nurse is performing a focused wound assessment on a patient. The following should be included in the documentation: (Select all that apply.)
 
  a. Location and size
  b. Characteristics of the wound bed
  c. Patient's response to wound treatment
  d. Patient's pain level
  e. Presence of drainage


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tsternbergh47

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, B, C, D
The Braden scale ranks the patient on the risk categories of sensory perception, moisture, activity, mobility, nutrition, and friction and shear. The scale does not include cognition.

Answer to Question 2

ANS: A, B, C, E
A focused wound assessment includes an evaluation of the wound's location, size, and color; presence of drainage; condition of the wound edges; characteristics of the wound bed; and patient's response to the wound or wound treatment. The patient's pain level would be documented with his/her pain assessment.


jayhills49

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

parshano

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Reply 3 on: Yesterday
Excellent

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