A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?

“I am calling about Mrs. Smith’s recent development of dyspnea."

"The client is post op day 1 following a lung resection"

"Could you provide an order for an incentive spirometer?”

"The client's respirations are 24 even and bilateral. Afebrile.”

Answer and Explanation

The Correct Answer is B

A. “I am calling about Mrs. Smith’s recent development of dyspnea." This statement is part of the Situation (S) step, describing why the nurse is calling.
B. "The client is post-op day 1 following a lung resection." This statement provides Background (B) information, giving context about the patient’s medical history and recent events.
C. "Could you provide an order for an incentive spirometer?" This statement is part of the Recommendation (R) step, where the nurse suggests a specific action or order.
D. "The client's respirations are 24, even and bilateral. Afebrile." This statement is part of the Assessment (A) step, describing the current clinical findings or assessment of the patient’s condition.

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Correct Answer is C

Explanation

A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.

A. Lean gently over the back of a chair with legs crossed B. Sit in front of the client at eye level and lean forward C. have their cell phone visible and diverting the eyes to check messages. D. Cross her arms over her chest and avoid eye contact

Correct Answer is B

Explanation

A. Lean gently over the back of a chair with legs crossed: This posture may appear informal and disinterested.
B. Sit in front of the client at eye level and lean forward: Sitting at eye level and leaning forward shows attentiveness and engagement, enhancing the importance of the education.
C. Have their cell phone visible and diverting the eyes to check messages: Checking a cell phone is distracting and shows a lack of attention and respect for the client.
D. Cross her arms over her chest and avoid eye contact: Crossing arms and avoiding eye contact can be perceived as defensive and uninterested.

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A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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