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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Albuterol may be used to treat bronchospasm associated with anaphylaxis, but it is not the first-line treatment.

B. Hydrocortisone sodium succinate is a corticosteroid that can help reduce inflammation, but it is not the first-line treatment in acute anaphylaxis.

C. Epinephrine is the first-line treatment for anaphylactic shock. It acts quickly to constrict blood vessels, increase heart rate, and open airways, counteracting the severe allergic reaction.

D. Diphenhydramine is an antihistamine that can help alleviate allergic symptoms but should be given after epinephrine in anaphylactic emergencies.

A. Curative B. Diagnostic C. Exploratory D. Palliative

Correct Answer is C

Explanation

A. Curative surgery is performed to remove or repair a disease process and is not primarily for diagnosis or staging.

B. Diagnostic surgery is done to obtain tissue for examination, often involving a biopsy, and is less extensive than exploratory surgery.

C. Exploratory surgery involves opening a body cavity to assess the extent of disease, often when the diagnosis is unclear or when the extent of disease needs to be determined.

D. Palliative surgery is intended to relieve symptoms but not cure the underlying disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Correct Answer is C

Explanation

This surgery is a more extensive procedure than a biopsy. It usually requires opening a body cavity to diagnose and to find out the extent of a disease process.

Correct Answer is C

Explanation

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