CNOR Operating Room Nursing

Category - Intraoperative

According to the Braden Scale for assessing the risk of pressure sores, which of the following patients would be at highest risk for developing a pressure injury during a surgical procedure?
  1. A patient who is alert and responsive and who can walk with assistance.
  2. A patient who is responsive to commands and has dry skin.
  3. A patient who moves around with assistance and eats ½ of their meals.
  4. A patient who can make position changes and who eats three meals a day with snacks.
Explanation
Answer: C-The patient at highest risk of a pressure injury would be someone who moves around with assistance and eats ½ of their meals. This patient may have some difficulties with movement and turning, putting him at increased risk of immobility. Additionally, poor nutrition contributes to pressure injuries because of decreased protein and fluids.
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