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?

a - 1 (Very Poor)

b - 2 (Probably Inadequate)

c - 3 (Adequate)

d - 4 (Excellent)

Answer 1

In assessing a client's risk for pressure injuries using the Braden scale, a client who eats more than half of most meals but occasionally refuses a meal should be documented as having '3 - Adequate' nutrition.

Step-by-step explanation:

The correct answer to the question about documenting the client's nutrition category on the Braden scale is c - 3 (Adequate). The Braden scale for predicting pressure sore risk assesses a client's risk based on several factors, including nutrition.

Clients who eat more than half of most meals but occasionally refuse a meal would be considered to have adequate nutrition. This is because they are generally getting enough food intake although it is not optimal. The Braden scale defines this level of nutrition as '3' which indicates that the client is not among the high-risk categories for pressure ulcers due to nutrition, but there might be slight concerns that would need to be monitored.

It is important for nurses to accurately document a client's nutritional intake as it plays a significant role in their overall health and their risk for developing pressure injuries. The Braden scale helps in identifying patients at risk and in planning appropriate prevention strategies.