the nurse will be using the braden scale with each admit to the long term care center which of these will not be utilized in a braden scale assessment

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse will be using the Braden Scale with each admit to the long-term care center. Which of these will NOT be utilized in a Braden Scale Assessment?

A. Mental state
B. Friction and shear
C. Nutrition
D. Sensory perception

Correct answer: A

Rationale:

2. Which among the following is NOT the cause of pressure ulcers?

A. Immobility
B. Poor nutrition
C. Moisture
D. Adequate perfusion

Correct answer: D

Rationale:

3. A man has been admitted to the hospital unit with a medical diagnosis of COPD. He is receiving supplemental oxygen at 2 L/min via nasal cannula. Which positioning technique will best assist him with his breathing?

A. Prone position
B. Sim's position
C. Lateral position
D. Fowler's position

Correct answer: D

Rationale:

4. What repetitive stress injury is a factory worker at risk of?

A. Plantar fasciitis
B. Osteomalacia
C. Carpal tunnel syndrome
D. Osteoporosis

Correct answer: C

Rationale: Factory workers are at risk of developing Carpal Tunnel Syndrome due to repetitive hand movements involved in their work. This condition occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes pressed or squeezed at the wrist. Plantar fasciitis (choice A) is a condition affecting the foot, not typically associated with factory work. Osteomalacia (choice B) is a softening of the bones due to a lack of vitamin D or calcium, not directly related to repetitive stress in factory work. Osteoporosis (choice D) is a condition characterized by weak and brittle bones, usually associated with aging or hormonal changes rather than repetitive stress injuries.