1.
If a patient has a Braden score of 6 which catagory does this patient fall into?
Correct Answer
D. Very high risk
Explanation
A Braden score of 6 indicates that the patient is at a very high risk for developing pressure ulcers. The Braden scale is a tool used to assess a patient's risk for developing pressure ulcers, with scores ranging from 6 to 23. A lower score indicates a higher risk. Therefore, a score of 6 falls into the category of "very high risk" for pressure ulcer development.
2.
Mr. Smith has been placed on bedrest by his doctor, what activity level score would you assign to this patient?
Correct Answer
A. 1
Explanation
The correct answer is 1 because being placed on bedrest indicates that the patient's activity level is significantly restricted. Bedrest typically involves minimal to no physical activity, and the patient is required to stay in bed most of the time. Therefore, assigning a score of 1 accurately reflects the patient's activity level in this situation.
3.
Mrs. Jones rarely eats a complete meal and generally eats only aobut 1/2 of any food offered. What nutrition score would you assign to Mrs. Jones?
Correct Answer
B. 2
Explanation
Mrs. Jones would be assigned a nutrition score of 2 because she rarely eats a complete meal and only consumes about half of the food offered. This indicates that her nutrition intake is not optimal and she may be lacking in essential nutrients. A score of 2 suggests that her eating habits need improvement to ensure she is getting adequate nutrition.
4.
Mr. Jennings makes major and frequent changes in positions in bed without assistance. What mobility score would you assign Mr. Jennings?
Correct Answer
D. 4
Explanation
Based on the information provided, Mr. Jennings is able to make major and frequent changes in positions in bed without any assistance. This suggests that he has a high level of mobility and is able to move and reposition himself independently. Therefore, a mobility score of 4 would be appropriate for Mr. Jennings.
5.
Mrs. Jolley requires lifts for moving and lifting. She slides down in the bed and requires frequent repositioning with maximum assistance. What friction and shear score would you assign this patient?
Correct Answer
A. 1
Explanation
Based on the given information, Mrs. Jolley requires lifts for moving and lifting, slides down in the bed, and requires frequent repositioning with maximum assistance. These factors indicate a high risk of friction and shear for the patient. Therefore, a friction and shear score of 1 would be appropriate to assign to this patient, indicating a high level of risk.
6.
Mr. Wilson skin sometimes is moist and his linen has to be changed at least once a shift. What moisture score would you assign Mr. Wilson?
Correct Answer
B. 2
Explanation
Based on the information provided, Mr. Wilson's skin is sometimes moist and his linen needs to be changed at least once a shift. This suggests that he may have a moderate level of moisture. Therefore, a moisture score of 2 seems appropriate for Mr. Wilson.
7.
Mr. Mason only responds to verbal commands, but cannot always communicate discomfort or the need to be turned. What sensory preception score would you assign Mr. Mason?
Correct Answer
C. 3
Explanation
Based on the given information, Mr. Mason can only respond to verbal commands but cannot communicate discomfort or the need to be turned. This suggests that his sensory perception is limited. Therefore, a score of 3 would be appropriate to indicate that he has some sensory perception, but it is not fully intact.
8.
Mr. Johnson never eats a complete a meal and rarely eats more than 1/3 of any food offered. He takes fluids very poorly. What nutrition score would you assign to Mr. Johnson?
Correct Answer
A. 1
Explanation
Based on the information provided, Mr. Johnson's eating habits indicate poor nutrition. He never eats a complete meal and rarely consumes more than 1/3 of any food offered. Additionally, his poor intake of fluids suggests a lack of hydration. Therefore, a nutrition score of 1 would be appropriate for Mr. Johnson, indicating a low level of nutrition.
9.
Mr. Peter Parker responds only to painful stimuli and cannot always communicate discomfort, he is wet most of the time, he is on bedrest, he does not change his body position in bed, he is receiving adequate tube feeds, and he requires maximum assistance with moving. What Braden Score would you assign Mr. Parker.
Correct Answer
C. 10-12 High Risk
Explanation
Based on the given information, Mr. Peter Parker is unable to communicate discomfort, is wet most of the time, does not change his body position in bed, and requires maximum assistance with moving. These factors indicate a higher risk for developing pressure ulcers. The Braden Scale is a tool used to assess a patient's risk for developing pressure ulcers, with scores ranging from 6 to 23. A score of 10-12 falls within the "High Risk" category, indicating that Mr. Parker has a significant risk of developing pressure ulcers.
10.
90 year old Veteran admitted with fractured hip. He is 2 days s/p hip replacement. He is painful and able to communicate his needs. He has a foley catheter and is incontinent of bowel 1 x daily. Although he can make occasional position changes in his extermities, he cannot repositoin himself. He has not been out of bed. He has been NPO or on a clear liquid diet for more than 5 days. What is his Braden Score?
Correct Answer
B. 13-14 Moderate Risk
Explanation
Based on the provided information, the patient is a 90-year-old veteran who recently had hip replacement surgery. He is in pain and can communicate his needs but cannot reposition himself. He has a foley catheter and is incontinent of bowel once a day. He has been immobile for 2 days and has not been out of bed. Additionally, he has been on a restricted diet for more than 5 days. Based on these factors, the patient's Braden Score falls within the range of 13-14, indicating a moderate risk for developing pressure ulcers.