You are using the SBAR Communication technique to report a change in a patient's condition.
Which statement would you make when providing background information?
The patient's skin is cold and clammy, and they vomited 250 mL of light green fluid.
The patient might need a nasogastric tube, N fluids, and laboratory studies.
The patient's blood pressure is 80/48 mm Hg.
The patient has a history of dehydration and orthostatic hypotension.
The Correct Answer is D
The correct answer is Choice D: The patient has a history of dehydration and orthostatic hypotension.
Choice A rationale:
This statement provides situational information about the patient's current condition, which is typically covered under "Situation" in the SBAR technique.
Choice B rationale:
This statement involves recommendations for potential interventions and would be appropriate for the "Recommendation" section of the SBAR communication.
Choice C rationale:
This statement details the patient's current vital signs, which also falls under the "Situation" or "Assessment" sections rather than "Background".
Choice D rationale:
Providing the patient's history of dehydration and orthostatic hypotension is crucial background information that helps the healthcare team understand the context and potential reasons for the patient's current condition. Background information includes relevant medical history, which can significantly impact clinical decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.
Choice B rationale:
Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.
Choice C rationale:
Determining if the patient has been helped is part of the termination phase, not the orientation phase.
Choice D rationale:
Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Preparing information on the use of telehealth does not directly address neighborhoods and built environments.
Choice B rationale:
This statement is incorrect. Incorporating a job fair with the next community health event does not directly address neighborhoods and built environments.
Choice C rationale:
This statement is correct. Attending a city council meeting to advocate for sidewalks in the new housing communities is an action that addresses neighborhoods and built environments.
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