Question

Your client has a Braden scale score of 17. Which is the appropriate nursing action?

A. Assess the client again in 24 hours; the score is within normal limits.
B. Implement a turning schedule; the client is at increased risk of skin breakdown.
C. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk of skin breakdown.
D. Request an order for a special low-air-loss bed; the client is at very high risk of skin breakdown.

Answer 1

A Braden scale score of 17 indicates mild risk for pressure ulcers. The proper nursing action is to implement a turning schedule to reduce the risk of skin breakdown.

Step-by-step explanation:

Understanding the Braden Scale Score

When a client has a Braden scale score of 17, it suggests that the client is at mild risk for pressure ulcers, but is not in the immediate danger zone for skin breakdown. The appropriate nursing action would be B. Implement a turning schedule; because even though 17 is not indicative of a very high risk, it still signals an increased risk that should be managed proactively.

Pressure ulcers are an important aspect of health care, particularly for individuals who are immobile or have compromised skin integrity. Ensuring regular movement and monitoring skin condition can prevent pressure ulcers from developing, which can lead to more serious complications.