A client has had Braden scores of 18 and 19 and Norton scores of ...

[drink]

A client has had Braden scores of 18 and 19 and Norton scores of 15 and 17 over the last 2 months. What does the nurse determine as the significance of the trending of these scores?
 
  1. Trending can only be accurate if the same scale is used.
  2. There is a definite trend of low risk for pressure ulcer development.
  3. Trending would be more accurate if the same scale was used.
  4. The scores indicate opposite risks for pressure ulcer development.

Question 2

A client's laceration has been closed with tissue adhesive. What instruction should the nurse provide the client about wound healing?
 
  1. Primary intention
  2. Open approximation
  3. Secondary healing
  4. Delayed closure

[whitcassie]

Answer to Question 1

Correct Answer: 3
Rationale: All of these scores indicate risk for development of a pressure ulcer, so some trending is possible, but it would be more accurate if the same scale was always used.

Answer to Question 2

Correct Answer: 1
Rationale 1: The nurse should instruct the client regarding primary intention wound healing. The edges of these wounds are approximated and held together with sutures, bandages, or tissue adhesive. Scarring is minimal with these wounds.
Rationale 2: Secondary healing involves wounds that cannot be approximated and that must heal in.
Rationale 3: Secondary healing involves wounds that cannot be approximated and that must heal in. These wounds are at higher risk for infection, take longer to heal, and are more prone to scarring.
Rationale 4: Wounds that are left open for 3 to 5 days allow edema or infection to resolve or exudate to drain and are then closed with sutures, staples, or adhesive skin closures heal by tertiary intention. This is also called delayed primary intention.

[drink]

Both answers were spot on, thank you once again

[whitcassie]

Great! Please up vote