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2 CE Test Hours

How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale

Contrada, Emily

AJN The American Journal of Nursing: November 2018 - Volume 118 - Issue 11 - p 44,45
doi: 10.1097/01.NAJ.0000547662.85215.ef
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How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale

GENERAL PURPOSE:

To provide guidance for using the Braden QD Scale to assess pediatric patients and score their risk of pressure-related injury.

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LEARNING OBJECTIVES/OUTCOMES:

After completing this continuing education activity, you should be able to

  • outline key factors about the development of the Braden QD Scale.
  • detail use of the Braden QD Scale to score the risk of pressure-related injury in pediatric patients.
  1. The critical factors in pressure ulcer development are pressure and
    1. adequate nutrition.
    2. tissue perfusion.
    3. tissue tolerance.
  2. Limitations of the Braden Q Scale include all but which of the following?
    1. It does not address device-related pressure injuries.
    2. It does not assess tissue perfusion and oxygenation.
    3. Initial validation testing excluded patients diagnosed with congenital heart disease.
  3. The Braden QD Scale, a revision of the Braden Q Scale, addresses the risks of device-related pressure injury and
    1. immobility.
    2. dehydration.
    3. sensory deficits.
  4. As part of a pressure injury prevention program, nurses in acute care pediatric settings should complete a skin assessment, including the use of a risk assessment tool such as the Braden QD Scale, within how many hours of the patient's admission?
    1. 12
    2. 24
    3. 48
  5. After the initial assessment, nurses should use the Braden QD Scale at least how many times daily to assess patients who are on bed rest, have limited mobility or sensation, or are critically ill?
    1. 1
    2. 2
    3. 3
  6. The sum of the scores of each of the Braden QD Scale's 7 subscales indicates pressure injury risk if it is
    1. 9 or higher.
    2. 11 or higher.
    3. 13 or higher.
  7. Using the Braden QD Scale, a 6-year-old in lower extremity traction would score which of the following for mobility?
    1. 0
    2. 1
    3. 2
  8. Using the Braden QD Scale, an infant receiving neuromuscular blockade would score which of the following for mobility?
    1. 0
    2. 1
    3. 2
  9. Using the Braden QD Scale, a 2-year-old with pneumonia who can communicate pain and discomfort in a developmentally appropriate manner would score which of the following for sensory perception?
    1. 0
    2. 1
    3. 2
  10. Using the Braden QD Scale, a nonverbal 5-year-old with severe cognitive impairment would score which of the following for sensory perception?
    1. 0
    2. 1
    3. 2
  11. Using the Braden QD Scale, a chemically paralyzed 4-year-old who can be completely lifted and repositioned in bed would score which of the following for friction and shear?
    1. 0
    2. 1
    3. 2
  12. Using the Braden QD Scale, a 12-year-old with cerebral palsy and spasticity whose elbows are red from being rubbed against the bed would score which of the following for friction and shear?
    1. 0
    2. 1
    3. 2
  13. Using the Braden QD Scale, a 2-month-old breastfed infant who feeds on demand and underwent surgery less than 24 hours ago would score which of the following for nutrition?
    1. 0
    2. 1
    3. 2
  14. Using the Braden QD Scale, a 6-year-old admitted with dehydration and frequent emesis who is unable to take food by mouth and has been receiving iv maintenance fluids for the past 3 days would score which of the following for nutrition?
    1. 0
    2. 1
    3. 2
  15. Using the Braden QD Scale, an 18-year-old with an SpO2 reading of 85% would score which of the following for tissue perfusion and oxygenation?
    1. 0
    2. 1
    3. 2
  16. Using the Braden QD Scale, a 1-month-old who has undergone heart surgery, is receiving multiple vasoactive medications, and is hemodynamically intolerant of position changes would score which of the following for tissue perfusion and oxygenation?
    1. 0
    2. 1
    3. 2
  17. When counting medical devices, nurses should include
    1. electrocardiographic monitors.
    2. hospital identification bracelets.
    3. personal nonmedical devices.
  18. Because the predictive value of the number of medical devices subscale of the Braden QD Scale does not improve when more than a certain number of devices are counted, the maximum number of devices nurses should count is
    1. 6.
    2. 8.
    3. 10.
  19. Using the Braden QD Scale, an orally intubated adolescent whose tube cannot be repositioned would score which of the following for repositionability/skin protection?
    1. 0
    2. 1
    3. 2
  20. Using the Braden QD Scale, a 10-year-old with an indwelling urinary catheter would score which of the following for repositionability/skin protection?
    1. 0
    2. 1
    3. 2
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