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 D

Explanation

A. Mild, occasional itching: Contact dermatitis usually causes more persistent and sometimes severe itching rather than mild and occasional.
B. Oily skin: Contact dermatitis typically causes dryness and irritation rather than oily skin.
C. Warm hands: Warm hands are not a characteristic finding of contact dermatitis.
D. Scaly patches on the cheeks: This is correct. Contact dermatitis can cause scaly patches, redness, and irritation on the skin, including the cheeks.

A. The state's nurse practice acts B. The American Nurses Association C. The facility's job descriptions D. The Joint Commission's legal department

Correct Answer is A

Explanation

A. The state's nurse practice acts:This is correct. State nurse practice acts provide legal guidelines and scope of practice for nurses within that state.
B. The American Nurses Association: While the ANA offers valuable resources and guidelines, it does not provide legal scope of practice specific to each state.
C. The facility's job descriptions :Facility job descriptions can outline specific roles and responsibilities but are not the legal source for scope of practice.
D. The Joint Commission's legal department: The Joint Commission sets accreditation standards but does not provide legal scope of practice guidelines for individual nurses.

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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

A nurse is assessing an infant who has contact dermatitis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A charge nurse is teaching a newly licensed nurse about the guidelines for legal scope of practice. For reference, which of the following sources should the nurse consult?

Correct Answer is A

Explanation

A nurse is caring for a client who is postoperative and reports having difficulty sleeping. Which of the following interventions should the nurse recommend?

A nurse is providing nutritional teaching to a client who has chronic migraine headaches. The nurse should inform the client that which of the following dietary items can trigger a migraine?

A nurse is collecting a culture specimen from a client's nonhealing wound. Which of the following actions should the nurse take first?

A nurse is assessing a client for acute postoperative pain. Which of the following actions should the nurse take first?

A nurse is performing a health screening for a client who weighs 90 kg (198 lb) and is 160 cm (63 in) tall. The nurse should classify the client's BMI as falling into which of the following categories?

A nurse is preparing a teaching program for the parents of a toddler who has a new diagnosis of cystic fibrosis. From which of the following sources should the nurse obtain information?

A nurse is assisting in the selection of menu items for a client who has chronic diarrhea. Which of the following items should the nurse recommend?

A nurse is reviewing laboratory reports of an older adult client who is postoperative. Which of the following laboratory results should indicate to the nurse that the client is at risk for delayed wound healing?