A nurse working in a long-term care facility is assigned to care for four clients following the 0700 morning change-of-shift report. Which of the following clients should the nurse attend to first?

A client who has bronchitis, began receiving antibiotics yesterday and has a temperature of 38.3°C (101°F).

A client who has COPD and has an oxygen saturation of 90%.

A client who has Alzheimer's and was restless during the night.

A client who has diabetes and had a 0600 blood glucose level of 60 mg/dL.

Answer and Explanation

The Correct Answer is D

Of the four clients described, the nurse should attend to the client who has diabetes and had a 0600 blood glucose level of 60 mg/dL first. This client's blood glucose level is low and requires immediate intervention to prevent further complications.
Option A may require attention, but the client's condition is stable and they are receiving treatment.
Option B may also require attention, but an oxygen saturation of 90% is within an acceptable range for a client with COPD.
Option C may also require attention, but the client's restlessness during the night does not indicate an immediate need for intervention.

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Correct Answer is ["A","B","C","E"]

Explanation

SBAR stands for Situation, Background, Assessment, and Recommendation. It is a systematic method of communication that provides a structured framework for conveying important information about a patient. To ensure that the report is thorough, the nurse needs to include information about the situation of the patient, the background leading up to the situation, an assessment of the patient, and recommendations for moving forward.

Option d is incorrect because barriers to providing treatment are not part of the SBAR framework.

Option f is incorrect because the reason why the report is needed is not part of the SBAR framework.

A. Collect data on the client. B. Place the client back into bed. C. Notify the client's provider. D. Fill out an incident report.

Correct Answer is A

Explanation

The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.

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A nurse working in a long-term care facility is assigned to care for four clients following the 0700 morning change-of-shift report. Which of the following clients should the nurse attend to first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse wants to prepare a patient report utilizing SBAR, which she knows is a systematic method of communication. To ensure the report is thorough, what types of information does she need? SELECT ALL THAT APPLY

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is A

Explanation

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