Braden Guides d'étude, Notes de cours & Résumés

The nurse is admitting an older patient from a nursing home. During the assessment, the nurse notes a shallow open reddish, pink ulcer without slough on the right heel of the patient. How will the nurse stage this pressure ulcer? a. Stage I b. Stage II c. Stage III d. Stage IV ANS: B This would be a Stage II pressure ulcer because it presents as partial-thickness skin loss involving epidermis and dermis. The ulcer presents clinically as an abrasion, blister, or shallow crater. Stage I ...

HESI RN FUNDAMENTALS SAMPLE QUESTIONS/ PREVIEW - The nurse is assessing a client with chronic obstructive pulmonary disease (COPD). The pulse oximeter alarm is flashing without displaying a percentage of oxygen. Which action should the nurse implement? exchange pulse ox for another monitor - Two days after surgery a male client experiences incisional pain while dangling his feet at the bedside and he refuses to ambulate as prescribed. The nurse establishes a problem of, “Activity intole...

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Wound Certification Exam Questions & Answers 100% Correct Wound Certification Exam Questions & Answers 100% Correct Wound Certification Exam Questions & Answers 100% Correct Wound Certification Exam Questions & Answers 100% Correct Wound Certification Exam Questions & Answers 100% Correct what are 6 risk factor components of Braden Scale for pressure ulcer? - ANSWERsensory perception, moisture, mobility, activity, nutrition, and shear/friction What is the name of the organization that devel...

NSG121/ NSG 121 Exam 2: (Latest 2024/ 2025 Update) Health Assessment | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing Q: How do you do a skin turgor assessment? Answer: Near the clavicle, gently grasp a fold of the patient's skin between your fingers and pull up, then release. Tenting indicates dehydration. Poor skin turgor is also associated with aging. Q: Describe a papule Answer: Raised, defined, any color, less than 1 cm (ex: wart, insect ...

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Exam 4: NUR257/ NUR 257 (New 2024/ 2025 Update) Aging and Chronic Illness in Nursing |Complete Guide with Questions and Verified Answers| 100% Correct| A Grade - Galen QUESTION Pressure Ulcers- Most often occur on the? Those with peripheral arterial disease are at high risk for? other areas may include? Answer: •sacrum, heels, and greater trochanters •heel ulcers • the lateral condyles of the knees and the ankles, the pinna of the ears, occiput, elbows, and scapul...

Hesi: NSG122/ NSG 122 (Latest 2024/ 2025 Update) Nursing Fundamental Concepts Exam | Guide with Questions and Verified Answers| 100% Correct| Grade A- Herzing Q: Factors Affecting Risk for Infection Answer: Factors affecting the risk for infection include: integrity of mucous membranes, pH levels of the gastrointestinal and genitourinary tracts, immune response, age, sex, race, heredity, level of fatigue, nutritional status, stress level, use of invasive or indwelling medical devices an...

Core Concepts Exam 4 5 factors affecting skin integrity - genetics & heredity - age - chronic illness & treatment - medications - poor nutrition 3 risk assessment tools for pressure ulcers - Braden scale - Norton scale - Waterlow scale Anything less than ___ on the Braden scale is a high risk for a pressure injury 18 Anything greater than ___ on the Braden scale is a low risk for a pressure injury 19 The Braden scale has a possibility of ___ possible points 23 ...