Without any warning, lightning strikes just outside of Jesse…

Without any warning, lightning strikes just outside of Jesse’s log cabin in the mountains, creating a very loud crack of thunder.  Jesse slightly flinches and his heart rate jumps.  Over the next 2 minutes, lightning strikes 5 more times within an eighth of a mile of his cabin, so there is almost no delay between the flash of light and the crack of thunder.  Jesse’s reaction to each crack of thunder becomes more and more pronounced, until at the 5th close lightning strike, his entire body flinches, his arms raise up defensively, his heart is racing, and he shouts out.  Jesse’s increasing responses exemplify which of the following?

An 82 year old woman is being admitted to the long term care…

An 82 year old woman is being admitted to the long term care facility.  Her assigned nurse completes a full assessment, including calculating the risk for skin breakdown based on the Braden Scale.  Which of the following will the nurse not include to accurately calculate a Braden Scale value?