Upon assessment of Jane, the RN observes that the client's skin is very dry, thin, and has multiple reddened non-blanchable areas on the bilateral buttocks. Her heels are dark red/purplish in color. The stage 3 pressure ulcer had a duoderm - type dressing in place. When the dressing was removed, the wound bed had yellow slough. The RN must identify potential skin impairments and maintain skin integrity interventions to help prevent further skin breakdown. Based on the Braden what score would you get for Jane?

Principles Of Pharmacology Med Assist
6th Edition
ISBN:9781337512442
Author:RICE
Publisher:RICE
Chapter13: Administration Of Parenteral Medications
Section: Chapter Questions
Problem 25RQ
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Upon assessment of Jane, the RN observes that
the client's skin is very dry, thin, and has multiple
reddened non-blanchable areas on the bilateral
buttocks. Her heels are dark red/purplish in color.
The stage 3 pressure ulcer had a duoderm - type
dressing in place.
When the dressing was removed, the wound bed
had yellow slough. The RN must identify
potential skin impairments and maintain skin
integrity interventions to help prevent further skin
breakdown.

Based on the Braden what score
would you get for
Jane?  

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