A patient about to undergo surgery is expressing anxiety. Which nurse’s response is most likely to encourage further conversation with the patient?

Choice A rationale:
This statement belongs to the "Request" portion of the SBAR format. It articulates a specific action the nurse wants the healthcare provider to take.
It's not part of the Background because it doesn't provide any historical or contextual information about the patient's condition.
Choice B rationale:
This statement is the correct choice for the "Background" portion of the SBAR format.
It provides essential background information about the patient's recent medical history, specifically the recent hysterectomy.
This information is crucial for the healthcare provider to understand the context of the current situation and make informed decisions about pain management.
Choice C rationale:
This statement provides additional patient information, but it's not the most relevant for the Background section in this context.
The patient's aversion to NSAIDs might be important for medication choices, but it doesn't directly address the current issue of pain management after a hysterectomy.
Choice D rationale:
This statement provides important information about the patient's allergies, but it's not the most relevant for the Background section in this context.
Allergies are crucial for medication safety, but they don't directly address the current issue of pain management or provide context about the patient's recent surgery.

Choice A rationale:
Wearing a respirator when handling urine output is not routinely recommended for MRSA infections. While airborne transmission of MRSA is possible, it is primarily spread through direct contact with infected skin or surfaces. Respirators are typically reserved for situations where there is a high risk of aerosolization, such as during certain medical procedures.
The use of a respirator can be cumbersome and uncomfortable, and it may not provide significant additional protection in this context.

It's important to prioritize hand hygiene and contact precautions over respirator use for routine care of patients with MRSA infections.
Choice B rationale:
Limiting visitors strictly to immediate family members only is not necessary for MRSA infection control. Visitors can be educated on proper hand hygiene and contact precautions to minimize the risk of transmission.
Restricting visitors can have negative psychosocial impacts on the patient, such as isolation and decreased social support. It's important to balance infection control measures with the patient's overall well-being.
Choice C rationale:
Washing hands only after removing gloves post-care is inadequate for MRSA infection control. Hands should be washed thoroughly with soap and water or an alcohol-based hand sanitizer:
Before and after entering the patient's room
Before and after any contact with the patient or their surroundings After removing gloves
After using the toilet Before eating or drinking.

Choice D rationale:
Vancomycin is an antibiotic that is effective against MRSA infections. It is often the first-line treatment for these infections.
Preparing to administer vancomycin as prescribed by the healthcare provider is the most appropriate action to take to address the patient's MRSA infection.
Prompt initiation of appropriate antibiotic therapy is essential to controlling the infection and preventing complications.