Asked by Yolanda Rodriguez on Jun 14, 2024
Verified
The nurse admits an older adult patient to the long-term care facility.When assessing for pressure ulcer risk,what should the nurse do after conducting the first Braden scale assessment?
A) Apply transparent film dressings to buttocks.
B) Reassess using the Braden Q scale.
C) Conduct another assessment in 3 days.
D) Massage areas over the bony prominences.
Braden Scale
A tool used to predict the risk of developing pressure ulcers by evaluating factors such as mobility, moisture, activity, nutrition, friction, and shear.
Pressure Ulcer Risk
Refers to the likelihood of developing bed sores due to prolonged pressure on the skin, commonly assessed in immobilized patients.
Transparent Film Dressings
Thin, clear dressings used to cover and protect wounds, maintaining a moist healing environment.
- Pinpoint the contributing factors and risks leading to pressure ulcers.
Verified Answer
TO
Tyson OtienoJun 21, 2024
Final Answer :
C
Explanation :
The initial Braden scale assessment should be repeated in 48 to 72 hours to establish an accurate baseline.Application of barrier products,such as transparent film dressing,prior to a thorough and accurate assessment of need is premature,and possibly unneeded.The Braden Q scale is used to assess pressure ulcer risk in children.Massaging the area over bony prominences could irritate the skin and lead to injury.
Learning Objectives
- Pinpoint the contributing factors and risks leading to pressure ulcers.