A nurse is planning to use the SBAR communication tool when giving on coming shift report. Which of the following statements should the nurse include in the R step?
"There are no provider's prescriptions available."
"The client should be seen by a neurologist."
"The client is disoriented. Pupils are slow to respond to light."
"The client was found unconscious on the floor in her home."
The Correct Answer is B
A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.
C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessment: Assessment is the initial data collection phase before intervention.
B. Evaluation: Evaluation involves determining the effectiveness of an intervention. Checking blood sugar after administering insulin is evaluating the effectiveness of the insulin.
C. Planning: Planning involves setting goals and deciding on interventions, not the follow-up.
D. Implementation: Implementation involves carrying out the planned interventions, such as administering insulin, not checking the results.
Correct Answer is C
Explanation
A. Disease prevention: This is a general term and not specific to levels of prevention.
B. Tertiary: Tertiary prevention involves managing and reducing complications of established diseases.
C. Primary: Primary prevention involves actions taken to prevent the onset of disease, such as vaccinations.
D. Secondary: Secondary prevention involves early detection and treatment of diseases.
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