Asked by Samantha Dopson on May 14, 2024
Verified
On admission a patient is noted to have an alteration in skin integrity on the right heel.The nurse uses the Braden Scale.Which areas will the nurse assess when using this scale? (Select all that apply.)
A) Mobility
B) Nutrition
C) Infection
D) Friction and shear
E) Sensory perception
Braden Scale
A tool used in healthcare to predict the risk of developing pressure ulcers by assessing factors such as mobility, moisture, activity, and nutrition.
Skin Integrity
Refers to the condition of skin being whole, undamaged, and intact, which is crucial for protecting the body from infection and other complications.
Nutrition
The science of food and how it affects the health and growth of the body, including dietary needs and balanced diets.
- Determine strategies to inhibit the development of pressure ulcers.
Verified Answer
GS
Grace SkorupskiMay 21, 2024
Final Answer :
A,B,D,E
Explanation :
The Braden Scale is a highly reliable scale that uses six subscales to identify patients at greatest risk for pressure ulcers: sensory perception,moisture,activity,mobility,nutrition,and friction and shear.Infection is not an area that is assessed on the Braden Scale.
Learning Objectives
- Determine strategies to inhibit the development of pressure ulcers.