Correct Answer: D

Rationale: The Braden scale assesses six elements (sensory perception moisture activity mobility nutrition friction/shear) to predict pressure injury risk. The scoring range is 1-4 for most elements age is not directly measured and lower scores indicate higher risk.

Correct Answer: C

Rationale: An occupational therapist specializes in assisting with ADLs addressing the client’s needs for morning activities post-stroke. Physical therapists focus on mobility dieticians on nutrition and speech pathologists on communication/swallowing.

Correct Answer: C

Rationale: Assessing peripheral pulses first ensures circulation is not compromised by restraints which could lead to serious complications like tissue ischemia. Skin integrity comfort and elimination needs are assessed subsequently to ensure overall safety and comfort.

Correct Answer: D

Rationale: A gastric residual of 300 mL indicates potential delayed gastric emptying requiring intervention. Normal glucose single diarrhea episode and modest weight gain are expected with enteral feeding.

Correct Answer: D

Rationale: Flushing the tube with 10 mL of water every 2 hours prevents clogging and maintains patency. Tubing changes are typically every 24-48 hours heating formula risks burns and routine residual checks are not standard.