A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Date of client's admission to the facility

Summary of a change in the client's condition

Brief explanation of the client's current condition

Request for provider to consult physical therapy

Answer and Explanation

The Correct Answer is A

A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.

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Correct Answer is B

Explanation

A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.

A. Avoid using moisturizers on the client's skin. B. Place the client on a timed voiding schedule. C. Place the client in high-Fowler's position while in bed. D. Wash urine off the client's skin with hot water and soap.

Correct Answer is B

Explanation

A. Avoid using moisturizers on the client's skin. Moisturizers are important for maintaining skin integrity, especially in clients with incontinence, to prevent skin breakdown.
B. Place the client on a timed voiding schedule. This is correct. A timed voiding schedule can help manage incontinence by reducing the frequency of wetness and thereby preventing skin breakdown.
C. Place the client in high-Fowler's position while in bed. High-Fowler’s position is not typically indicated for preventing skin breakdown and can increase pressure on the sacral area.
D. Wash urine off the client's skin with hot water and soap. Washing with hot water and soap can be harsh and irritating to the skin. It is better to use mild soap and lukewarm water.

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A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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