A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?
"The client has developed drooping facial features."
"The client may benefit from a neurology consult."
"The client is disoriented and pupils are slow to respond to light."
"The client has a history of hypertension."
The Correct Answer is D
Explanation:
A. "The client has developed drooping facial features."
This statement provides specific information about a recent change in the client's condition, which is relevant background information. It helps the provider understand one of the key reasons for the communication.
B. "The client may benefit from a neurology consult."
While suggesting a neurology consult is a potential recommendation (R) in the SBAR tool, it is not part of the Background (B) component. Background information typically focuses on factual data about the client's history, current condition, and pertinent details relevant to the situation.
C. "The client is disoriented and pupils are slow to respond to light."
Similar to option B, this statement describes the client's assessment findings and current condition rather than providing background information. It would be more appropriate in the Assessment (A) component of the SBAR tool.
D. "The client has a history of hypertension."
This statement provides relevant background information about the client's medical history, specifically their history of hypertension. Including this information in the Background component helps the provider understand the client's baseline health status, which is important for evaluating the current situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. Re-collection of data:
This step involves gathering additional information or data about the client's condition. It may be necessary if there are new developments, changes in the client's status, or if the initial data collected was insufficient or inaccurate. Re-collection of data helps ensure that the nurse has comprehensive and accurate information to base the care plan on.
B. Implementation:
Implementation is the phase where the nurse puts the planned interventions into action. This step involves performing nursing actions, administering treatments or medications, providing education and support to the client and their family, and collaborating with other healthcare team members. The nurse follows the care plan developed during the planning phase to address the client's needs and achieve desired outcomes.
C. Evaluation:
Evaluation is the final step of the nursing process where the nurse assesses the client's response to interventions and the effectiveness of the care provided. The nurse compares the client's actual outcomes with the expected outcomes identified during the planning phase. If the outcomes are met, the plan may continue as is or be modified for ongoing care. If the outcomes are not met, the nurse revises the plan as necessary to improve client outcomes.
D. Data Collection:
Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, emotional, social, and environmental factors. This step involves conducting assessments, gathering medical history, reviewing laboratory and diagnostic tests, and obtaining information from the client and their family. Data collection forms the basis for identifying nursing diagnoses, developing care plans, and implementing appropriate interventions.
Correct Answer is ["A","B","D","E"]
Explanation
Explanation:
A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:
This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.
B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:
CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.
C. A magazine article about healthcare trends authored by a journalist:
While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.
D. American Association of Critical Care Nurses (AACN) website:
The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.
E. Agency for Healthcare Research and Quality (AHRQ) website:
The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
