Asked by Johnpromise ononuju on Apr 26, 2024
Verified
The nurse is caring for four patients during a shift.Which of the following patients is at greatest risk for developing a pressure ulcer?
A) The patient who is bedridden,but who turns himself randomly
B) The patient whose Braden Scale score is 8
C) The patient who can ambulate to the bathroom independently
D) The patient whose Braden Scale score is 18
Braden Scale Score
A tool used in healthcare to assess a patient's risk of developing pressure ulcers, based on factors like mobility, moisture, and nutrition.
Bedridden
A term describing a person who is unable to get up from bed due to health reasons.
- Understand methods for preventing pressure ulcers and assessing risks associated with them.
Verified Answer
ZK
Zybrea KnightMay 03, 2024
Final Answer :
B
Explanation :
Given the overall score on the Braden Scale,the patient will fall within one of these categories: mild risk,16 to 18;moderate risk,13 to 14;or high risk,9 or less.Use these risk scores to plan care by looking at the individual risk factors that place the patient at risk and developing a care plan to decrease or eliminate the identified risk factors.Immobility often restricts the patient's ability to change and control body position,thus increasing pressure over bony prominences.Patients who can turn themselves are at less risk than those who cannot.
Learning Objectives
- Understand methods for preventing pressure ulcers and assessing risks associated with them.
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