Question

A nurse is assessing a client's risk for pressure injuries using the Braden scale. The ct 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?

A. Consistently consumes all meals
B. Refuses most meals
C. Eats less than half of most meals
D. Eats all meals with snacks in between

Answer 1

The nurse should document that the patient 'Eats less than half of most meals' on the nutrition category of the Braden scale, as this is the closest match to the description provided.

Step-by-step explanation:

The appropriate documentation for the nutrition category of the Braden scale, based on the description that the client eats more than half of most meals but occasionally refuses a meal, would be C. According to the Braden scale options provided in the question, the best fit is:

It is important to note that while this option is selected based on the choices provided, the actual scenario might more accurately reflect a level of nutrition that is slightly better than 'eats less than half of most meals'. However, since there is no option that exactly matches 'eats more than half but not all meals and occasionally refuses a meal', the nurse must choose the closest match. This choice reflects a risk for pressure injuries because adequate nutrition is crucial for skin integrity and healing. If the patient's dietary intake is not optimal, it may lead to a decline in overall health and an increased risk of developing pressure injuries.