A nurse is providing client report using the Situation, Background, Assessment, Recommendation (SBAR) format. Using SBAR, in which order should the nurse provide the information in the report? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
The client's temperature is 39.5° C (103.1° F).
Contact the client's provider for a prescription for a sputum culture.
The client reports increasing shortness of breath.
The client has COPD.
The Correct Answer is C,D,A,B
A. The statement detailing the temperature of 39.5 degrees C (103.1 degrees F) represents the Assessment (A) phase, where the nurse shares the objective physical findings and clinical measurements gathered during the client evaluation. This logically follows the background context.
B. Requesting a prescription for a sputum culture represents the Recommendation (R) phase, which is the final step of the communication framework. In this phase, the nurse proposes a specific action or intervention to the provider to address the identified problem.
C. The statement regarding the report of increasing shortness of breath represents the Situation (S) phase, which must be presented first. This step establishes the immediate reason for the communication and states the current clinical problem.
D. The statement noting that the client has COPD represents the Background (B) phase, which is the second step. This provides the essential clinical history and context surrounding the client to help the provider understand the underlying factors related to the current situation.
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Related Questions
Correct Answer is B
Explanation
A. While the provider may need to countersign the prescription, this does not affect the accuracy of the order at the time of receiving it.
B. Verifying the medication name along with its intended purpose helps ensure clarity and reduces the risk of medication errors, especially during telephone orders where miscommunication is more likely.
C. Verbalizing "B-I-D" rather than "twice per day" could cause confusion; clear language is essential, and "twice per day" is more understandable.
D. Using the generic name rather than the trade name is recommended to avoid confusion with similar brand names.
Correct Answer is A
Explanation
A. Reviewing evidence-based literature is essential to understand best practices in shift reporting and can inform the development of effective interventions. This foundational step helps ensure that any proposed changes are supported by research and proven methods.
B. While organizing a task force can be beneficial, it should occur after understanding the current best practices, as the task force's efforts would be better guided with existing evidence.
C. Creating a new reporting process without first gathering information or reviewing best practices may result in ineffective or unnecessary changes.
D. Developing a strategy to alert nurses is important, but it should be based on informed decisions derived from literature and data analysis, which should come first.
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