Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

In the Braden scale, what ranking is given for a patient who is bedfast?

1. 1

2. 2

3. 3

4. 4

The correct answer is: 1

In the Braden scale, which is used to assess a patient's risk for pressure ulcers, a ranking of 1 indicates that the patient is considered to be at the highest risk. Specifically, a score of 1 is assigned to individuals who are bedfast, meaning they are unable to change positions or move independently. This ranking reflects the critical state of the patient's mobility and the need for comprehensive preventive measures to protect their skin integrity. This risk categorization is fundamental in nursing practice, as it guides the implementation of appropriate interventions, such as frequent repositioning, skin care, and nutritional support, to mitigate the risk of developing pressure ulcers. By accurately identifying those who are bedfast with a score of 1, healthcare providers can prioritize their care effectively and reduce the likelihood of serious complications associated with immobility.