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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Reapplying a condom catheter for a client with urinary incontinence: This is a routine task that is appropriate for a nursing assistant to perform under supervision.
B. Feeding a stroke client who has difficulty in swallowing: This task requires careful monitoring for aspiration risks and should be performed by a licensed nurse or speech therapist.
C. Completing a sterile dressing change to a pressure ulcer: This task requires sterile technique and should be performed by a licensed nurse.
D. Reinforcing teaching with a client who is learning how to administer insulin: Teaching and reinforcing education should be performed by a licensed nurse.

A. Planning B. Assessment C. Implementation D. Evaluation

Correct Answer is A

Explanation

A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.

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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?

Nursing Test Bank

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