A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?
Assessment
Background
Situation
Recommendation
The Correct Answer is B
A. Assessment: The Assessment section includes the nurse's findings and interpretations of the client's current condition. Information specific to sleep apnea would more likely be part of the client's history and not a direct assessment finding at this time.
B. Background: The Background section includes relevant background information that could impact the client’s current situation. This would be the appropriate section to include the client's history of sleep apnea.
C. Situation: The Situation section focuses on the current issue or reason for the communication. While it should be concise, it does not include detailed past medical history unless directly relevant to the current situation.
D. Recommendation: The Recommendation section is where the nurse suggests the next steps or interventions needed. Information about sleep apnea is not a recommendation but part of the client's background.
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Related Questions
Correct Answer is C
Explanation
A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.
B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.
C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).
D. The client states his wound is improving. This goal is not measurable or specific.
Correct Answer is ["B","C","E"]
Explanation
A. Administering blood to a client. Administering blood typically requires an RN due to the need for close monitoring and potential complications.
B. Re-enforces teaching to a diabetic client. LPNs can reinforce teaching that was initially provided by an RN.
C. Administering medications to the RN's other clients. LPNs are qualified to administer medications.
D. Completing an initial assessment on a new admission. Initial assessments must be completed by an RN
E. Changing a sterile dressing on a client. LPNs can perform sterile dressing changes.
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