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 C
Explanation
Choice A rationale:
Explaining that the hospital follows a preferred provider organization structure does not help the patient obtain health insurance.
Choice B rationale:
Reviewing the benefits of obtaining health insurance through a health maintenance organization does not help the patient obtain health insurance.
Choice C rationale:
Asking social services to help the patient use the state health care exchange to shop for health insurance coverage is the best action as it directly addresses the patient’s need.
Choice D rationale:
Suggesting the patient consider contacting the state to enroll in Medicaid may not be appropriate if the patient does not meet the eligibility criteria for Medicaid.
Correct Answer is B
Explanation
Choice A rationale:
The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.
Choice B rationale:
The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.
Choice C rationale:
While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.
Choice D rationale:
The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.
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