The nurse is completing the Braden scale to predict risk for pressure ulcer development with a patient on bedrest. Which findings does the nurse score as increasing this patient's risk? (Select all that apply.)
A) Patient eats half of offered foods.
B) Patient responds only to painful stimuli.
C) Linen must be changed at least once per shift.
D) Patient makes body position changes with assistance only.
E) Patient walks independently outside of the room twice a day.
Correct Answer:
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