This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The ... (Read 79 times)

notis

  • Hero Member
  • *****
  • Posts: 596
on: Jul 22, 2018
The patient has a risk for skin impairment and has a 15 on the Braden Scale upon admission. The nurse has implemented interventions. Upon reassessment, which Braden score will be the best sign that the risk for skin breakdown is removed?
 
  a. 12
  b. 13
  c. 20
  d. 23

Question 2

The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
 
  a. Turn on the television.
  b. Explain the procedure.
  c. Tell the patient Close your eyes.
  d. Ask the family to leave the room.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dmurph1496

  • Sr. Member
  • ****
  • Posts: 343
Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: D
The best sign is a perfect score of 23. The Braden Scale is composed of six subscales: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. The total score ranges from 6 to 23, and a lower total score indicates a higher risk for pressure ulcer development. The cutoff score for onset of pressure ulcer risk with the Braden Scale in the general adult population is 18.

Answer to Question 2

ANS: B
Explaining the procedure educates the patient regarding the dressing change and involves him in the care, thereby allowing the patient some control in decreasing anxiety. Telling the patient to close the eyes and turning on the television are distractions that do not usually decrease a patient's anxiety. If the family is a support system, asking support systems to leave the room can actually increase a patient's anxiety.


notis

  • Member
  • Posts: 596
Reply 2 on: Jul 22, 2018
Great answer, keep it coming :)

amcvicar

  • Member
  • Posts: 341
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

The human body produces and destroys 15 million blood cells every second.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Regulation of heat exchange in the skin. Regulation of heat exchange in the skin.
Comparison of the level of skin damage as a result of the three different degrees of burns. Comparison of the level of skin damage as a result of the three different degrees of burns.
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Intradermal drug administration: (a) cross section of skin showing depth of needle insertion Source: Intradermal drug administration: (a) cross section of skin showing depth of needle insertion Source:
Patient teaching: lung assessment Patient teaching: lung assessment
Saffir-Simpson Scale (Hurricane Intensity Scale) Saffir-Simpson Scale (Hurricane Intensity Scale)
Video: Apicomplexan life cycle Animation

For a complete list of videos, visit our video library