A nurse is assessing an elderly bedridden patient for pressure injury risk using the Braden Scale. Which six physiological and environmental subscales constitute the validated Braden Scale?

Answer and explanation

Correct answer: D. Sensory perception, moisture, activity, mobility, nutrition, and friction/shear

  1. Step 1: The Braden Scale is an internationally validated tool for assessing pressure ulcer risk.
  2. Step 2: It evaluates six specific domains: Sensory Perception, Moisture, Activity, Mobility, Nutrition, and Friction and Shear, with scores ranging from 6 to 23 (scores <= 18 indicate elevated risk requiring preventive interventions).
Answer
Sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
Why not the others: 'Age, gender, blood pressure...' are cardiovascular/demographic parameters not evaluated in the Braden Scale; 'Skin temperature, hemoglobin...' are clinical lab values; 'Hydration, cognitive status...' mix varied clinical parameters.

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