Which of the following are subscales on the Braden Scale for ...

[imowrer]

Which of the following are subscales on the Braden Scale for predicting pressure ulcers? (Select all that apply.)
 
  a. Nutrition
  b. Moisture
  c. Mobility
  d. Age
  e. BMI

Question 2

A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
 
  a. Lubricate the resident's skin with moist-urizers twice daily
  b. Ensure that the resident has adequate nu-trition and hydration
  c. Bathe the resident in hot soapy water
  d. Avoid the use of lifting shifts when trans-ferring the resident
  e. Dress the resident in long sleeves and long pants to protect the extremities

[Meganchabluk]

Answer to Question 1

ANS: A, B, C
The six subscales of the Braden Scale are sensory perception, activity, mobility, moisture, friction and shear, and nutrition.

Answer to Question 2

ANS: A, B, E
Soapless bathing, tepid water, and moisturizers twice daily are recommended to prevent skin tears. Heavy soaps and hot water dry out the skin increasing the risk of skin tears. Lifting sheets are recommended as are the use of long sleeves and long pants to protect the extremities.