The nurse assesses a patient using the Braden scale.The patient scores a 13.What action is most important to add to the patient's care plan?
A)Encourage high-protein meals and snacks.
B)Turn the patient every to 2 hours.
C)Assess the patient's skin daily.
D)Monitor patient's prealbumin weekly.

Question

Quizplus · Accepted Answer

A Braden scale score of 13 indicates the patient is at moderate risk for pressure ulcers. Turning the patient every 2 hours is the most important action to add to the care plan in order to prevent pressure ulcers. Encouraging high-protein meals and snacks and assessing the patient's skin daily are also important interventions, but not the most important in this case. Monitoring the patient's prealbumin weekly is not specifically related to preventing pressure ulcers.

The Nurse Assesses a Patient Using the Braden Scale