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.
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Related Questions
Correct Answer is B
Explanation
A. It is not appropriate to provide reassurances that may be unrealistic; rather, the focus should be on providing accurate information.
B. Tailoring the information to the client’s level of understanding ensures that the client is well-informed and can participate in decision-making, which can reduce anxiety and improve outcomes.
C. Notifying the family is important but not the primary action related to preoperative teaching.
D. Describing the surgery is typically the surgeon's role, but the nurse can reinforce postoperative expectations as part of preoperative teaching.
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.
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