A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR?
Glasgow coma scale result
History of the injury
Medication during the next shift
Intracranial pressure readings
The Correct Answer is B
Explanation:
A. Glasgow coma scale result - This would be included in the assessment segment of SBAR, as it provides a clinical evaluation of the client's current neurological status.
B. History of the injury - The situation segment is used to briefly explain the current situation or the reason for the report. Including the history of the injury provides context about why the client is receiving care.
C. Medication during the next shift - This information is part of the Recommendation segment of SBAR. The nurse should include any upcoming medication administration, changes in medication orders, or specific medications that need to be administered during the next shift.
D. Intracranial pressure readings - This information should be included in the Assessment segment of SBAR. It provides important data about the client's intracranial status, helps monitor for changes or trends, and guides ongoing management and interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["6"]
Explanation
Explanation:
To calculate the correct dosage of amoxicillin oral solution, the nurse needs to use the formula: (desired dose ÷ available dose) × available volume.
For this scenario, the desired dose is 300 mg, and the available dose is 250 mg in 5 mL.
Using the formula, the calculation would be: (300 mg ÷ 250 mg) × 5 mL = 1.2 × 5 mL = 6 mL.
Therefore, the nurse should administer 6 mL of the amoxicillin oral solution to deliver a dose of 300 mg.
Correct Answer is ["B","C","E"]
Explanation
Explanation:
A. Pharmaceutical sales representatives: While pharmaceutical sales representatives may provide promotional materials and product information, their primary goal is to promote specific medications. Their information may be biased and may not always reflect an objective assessment of drug efficacy, safety, or appropriateness.
B. Published journals: Peer-reviewed journals and reputable publications are excellent sources of evidence-based information on medications. They often contain studies, reviews, and updates on drug efficacy, safety, interactions, and guidelines.
C. Pharmacists: Pharmacists are highly trained professionals who specialize in medications. They can provide valuable information regarding drug interactions, dosages, administration, side effects, contraindications, and patient education. Pharmacists are reliable sources for clarifying medication-related inquiries.
D. Internet: While the internet can provide a wealth of information, it is crucial to use reputable and evidence-based websites when searching for medication information. Many websites may contain inaccurate, outdated, or misleading information. Healthcare professionals should use caution and verify information obtained from online sources.
E. Physicians Desk Reference (PDR): The Physicians Desk Reference is a comprehensive reference book that contains detailed information on prescription drugs, including indications, dosages, interactions, adverse effects, and warnings. It is a trusted resource commonly used by healthcare professionals.
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