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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Third spacing involves the abnormal accumulation of fluid in extracellular spaces and is more commonly associated with hypovolemic or distributive shock, not obstructive shock.
B. Cardiac tamponade is a classic cause of obstructive shock, where the accumulation of fluid in the pericardial sac compresses the heart, leading to decreased cardiac output and obstructed blood flow.
C. Cardiomyopathy is a disease of the heart muscle that can lead to heart failure but is typically associated with cardiogenic shock, not obstructive shock.
D. A ruptured aneurysm would most likely cause hypovolemic shock due to blood loss, not obstructive shock.
Correct Answer is A
Explanation
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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