A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?
A prescribed consultation
The client's vital signs
The client's name
The client's code status
The Correct Answer is D
This is important information that should be included in the background section. Understanding a client's code status (e.g., full code, DNR) is critical for the receiving team, as it affects the management and response to the client’s care.
A. Recommendation
B. Assessment
C. While the client's name is important for identification, it is generally considered part of the introduction rather than the background. The background focuses more on medical history and relevant context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","F","G"]
Explanation
Role of assistive personnel is activities of daily living, document input and output, obtain stable vitals as well assist clients in ambulating.
A. The choice of food should consider the risk of aspiration and should include soft food. The high-risk client needs the involvement of a nurse
C. Monitoring the client for features of aspiration pneumonia is in the scope of a registered nurse as it requires clinical judgment and knowledge. –
D. Initiating referral to a speech language pathologist is in the scope of a nurse.
E. Instructing on swallowing techniques is an intervention performed by nurses as it requires demonstration of safety techniques.
Correct Answer is C
Explanation
A DNR (Do Not Resuscitate) order means that CPR should not be initiated in the event of a cardiac arrest. This however, does not include other aspects of care that may be required by the client. Comfort measures should still be used unless stated otherwise.
A. A confused client lacks the mental capacity to refuse care and the nurse is right.
B. Respiratory depression is not a contraindication to opioid therapy in cases of pain during end of life care.
D. The nurse has the right to decline participation in elective abortion cases.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.