Question

A nurse is assessing a client's risk for pressure injuries using the Braden scale. The client eats more than half of most meals but occasionally refuses a meal. Which of the following information should the nurse document on the nutrition category of the Braden scale?

1) The client eats more than half of most meals
2) The client occasionally refuses a meal
3) The client eats less than half of most meals
4) The client eats all meals without any refusal

Answer 1

The nurse should document that the client eats more than half of most meals on the Braden scale for nutrition assessment, while also being aware of the occasional meal refusal.

Step-by-step explanation:

When using the Braden scale to assess a client's risk for pressure injuries, nutrition is an important factor. In this case, the client's eating habits include consuming more than half of most meals, but with occasional refusal of a meal. For the nutrition category of the Braden scale, the nurse should document that the client eats more than half of most meals, as it best describes the client's usual intake.

This information also suggests that, although the client generally has an adequate intake, the occasional refusal of meals should be monitored as it could affect their nutritional status and risk for pressure injuries. Encouraging the client to maintain a balanced diet and addressing reasons for meal refusal are strategies that may improve overall nutrition.