A nurse is preparing to notify the provider about a change in a client's status. Which of the following information should the nurse plan to include in the "background" portion of the Situation, Background, Assessment, Recommendation (SBAR) Communication tool?
Client's present condition.
Suggestions for the provider regarding client care.
Physical findings.
Previous treatments.
The Correct Answer is D
Choice A rationale: The client's present condition is the "Situation" component of SBAR. It identifies the immediate reason for the call and the current problem that requires the provider's attention or intervention.
Choice B rationale: Suggestions for the provider regarding client care constitute the "Recommendation" phase. This part involves the nurse proposing specific actions, tests, or treatments to address the identified clinical issue.
Choice C rationale: Physical findings are categorized under the "Assessment" portion of SBAR. This includes vital signs and clinical observations made by the nurse to evaluate the client's current physiological state.
Choice D rationale: Previous treatments belong in the "Background" section. This component provides historical context, including admitting diagnosis, medical history, allergies, and relevant interventions already performed to inform the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Dishwashing gloves are often made of latex, which can trigger an allergic reaction in individuals with a latex allergy. Direct contact with latex-containing items should be avoided to prevent allergic responses.
Choice B rationale:
Adhesive tape commonly contains latex and can lead to allergic reactions in individuals with a latex allergy. Avoiding contact with latex-containing items is crucial to prevent potential allergic symptoms.
Choice C rationale:
Macadamia nuts and bananas do not typically contain latex and are not known to trigger latex allergies. While these items can cause allergic reactions in some individuals, they are not relevant to a latex allergy.
Choice D rationale:
While macadamia nuts and bananas can cause allergies in some people, they do not contain latex and are not associated with latex allergies. Therefore, they are not items that the nurse needs to instruct the client to avoid due to their latex allergy.
Choice E rationale:
Rubber bands are often made from latex, which can provoke an allergic reaction in individuals with a latex allergy. Encouraging the client to steer clear of items like rubber bands helps prevent potential allergic responses.
Correct Answer is A
Explanation
Choice A rationale:
This choice reflects the correct technique for maintaining balance and using proper body mechanics when assisting with moving a client up in bed. Shifting weight from the back to the front leg while keeping the feet apart provides a stable base and reduces the risk of injury to the nurse.
Choice B rationale:
Positioning the client's arms at their sides before moving them up in bed is not a necessary step and may not contribute significantly to the process. The primary focus should be on proper body mechanics and the use of assistive devices, such as a draw sheet, to ensure safe patient handling.
Choice C rationale:
Elevating the head of the client's bed 30° is not directly related to the task of moving the client up in bed using a draw sheet. While head elevation might have other clinical indications, it does not impact the technique of assisting with repositioning.
Choice D rationale:
Bending at the waist when grasping the draw sheet is incorrect body mechanics and can lead to strain on the nurse's back. Proper technique involves using the legs to bend and lift while keeping the back straight, reducing the risk of injury.
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