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The Nurse Admits a Patient to the Surgical Unit and Determines

Question 20

Multiple Choice

The nurse admits a patient to the surgical unit and determines that the patient's Braden Scale score is 18.Which does the nurse include in the patient's initial plan of care?


A) Using moisturizing lotion to massage the sacrum
B) Assisting the patient to turn and reposition every 4 hours
C) Keeping the skin clean and dry with frequent bathing
D) Maintaining the head of the bed at approximately 30 degrees

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