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

The nurse should document a score of 3 (Adequate) in the nutrition category of the Braden scale for a client who eats more than half of most meals but occasionally refuses a meal.

Step-by-step explanation:

The Braden scale assesses the risk of developing pressure injuries by evaluating multiple factors, including nutrition. For a client who eats more than half of most meals but occasionally refuses a meal, the nurse should document a score of 3 (Adequate) in the nutrition category of the Braden scale. This score reflects that the client's intake is likely sufficient most of the time but not optimal, considering the occasional refusal of a meal, which might signal a potential for nutritional risk if patterns change or appetite decreases further.