A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

Situation

Recommendation

Introduction

Assessment

Answer and Explanation

The Correct Answer is D

A. Situation This component includes the immediate issue or reason for the report.
B. Recommendation This includes what the nurse suggests or recommends should happen next.
C. Introduction This includes the nurse's name, role, and patient details.
D. Assessment This includes the nurse's findings, including lung sounds, vital signs, and other assessment data.

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Correct Answer is C

Explanation

A. Postpone ADLs until an occupational therapist determines the client's abilities. Delaying ADLs can lead to decreased independence and a decline in the client's physical condition. The nurse should assess the client's abilities and provide appropriate assistance.
B. Eliminate daily care that is not essential for the client's recovery. All aspects of daily care contribute to the client's overall well-being and quality of life. Eliminating non-essential care can negatively impact the client's mental and physical health.
C. Inform the client of the time the ADLs will be performed. Informing the client of the time the ADLs will be performed promotes consistency and allows the client to prepare mentally and physically. This helps maintain a routine, which can be reassuring for the client.
D. Determine the client's preferences. While it is important to consider the client's preferences, it is not the primary action. Informing the client of the schedule helps with planning and consistency.

A. Squeeze the handles of extinguisher. B. Pull out the safety pin of the extinguisher. C. Sweep extinguisher from side to side at the base of fire. D. Aim the extinguisher at the base of fire.

Correct Answer is B

Explanation

A. Squeeze the handles of extinguisher. This is done after aiming at the base of the fire and pulling the pin.
B. Pull out the safety pin of the extinguisher. This is the first step to unlock the extinguisher for use.
C. Sweep extinguisher from side to side at the base of fire. This is done after aiming and squeezing the handles.
D. Aim the extinguisher at the base of fire. This is the second step, after pulling the pin.

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A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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