A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?
Background
Recommendation
Situation
Assessment
The Correct Answer is A
A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.
B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.
C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.
D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. This is correct because it is important for clients to manage their pain proactively by using the PCA before the pain becomes intense. This helps maintain a consistent level of comfort and prevents the pain from escalating to a difficult-to-control level.
B. This is incorrect and potentially dangerous. Only the client should press the PCA button, as they are the best judge of their own pain. Allowing someone else to do so can lead to overmedication.
C. This is incorrect because the purpose of the PCA is to give the client control over their pain management. While additional medication may be needed in some cases, the PCA is typically sufficient for managing postoperative pain.
D. This is correct because PCA devices are designed with safety mechanisms that prevent overdose. The pump is programmed to deliver a controlled amount of medication within a specified time frame, ensuring that the client cannot administer too much medication.
E. This is correct because consistent use of the PCA can help maintain steady pain control. The system allows the client to self-administer pain relief as needed, helping to manage pain effectively without large fluctuations.
Correct Answer is D
Explanation
A. Pedal edema is related to fluid retention or circulatory issues, not atelectasis.
B. Dysphagia, or difficulty swallowing, is not typically associated with atelectasis.
C. Distended neck veins are a sign of increased central venous pressure, not atelectasis.
D. Dyspnea, or difficulty breathing, is a common sign of atelectasis, which is the collapse of part or all of a lung, leading to impaired gas exchange.
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.