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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ecchymoses (bruising) over the buttocks and lower back in an older adult could be a sign of physical abuse or an underlying bleeding disorder, and it should be reported immediately.
B. Hirsutism, or increased facial and chest hair, is a common age-related change and does not usually require reporting unless it indicates an endocrine disorder.
C. Reduced skin elasticity is a normal age-related finding due to decreased collagen and elastin in aging skin.
D. Increased macules, or age spots, are benign and typical with aging, especially with prolonged sun exposure, and do not require reporting.
Correct Answer is D
Explanation
A. Setting specific times for low-priority tasks may not be the most efficient use of time, as client needs can change throughout the shift.
B. Performing complicated tasks independently may not be safe, as it is essential to collaborate with other healthcare team members when necessary for patient safety.
C. Postponing checking for new prescriptions until medications are due could lead to delays in care and negatively impact client outcomes; it's important to check for updates promptly.
D. Clustering care activities for each client promotes efficiency, minimizes interruptions, and helps ensure that all care needs are met in a timely manner.
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