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Administering a nebulizer treatment would be more appropriate for respiratory conditions such as asthma or COPD, not for angina pectoris.

While reviewing the patient’s surgical history is important in a comprehensive assessment, it is not the most immediate action needed when a patient presents with angina.

Recording the patient’s weight is not the most immediate action needed when a patient presents with angina.

The ventricles relax during diastole, not systole.

The atria also contract during systole, but this occurs just before ventricular systole.

This choice is incorrect because both the ventricles and the atria contract during systole.

While auscultating the lung fields can provide valuable information about the patient’s respiratory status, it is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.

Elevating the head of the bed can help improve lung expansion and ease breathing, but it is not as immediately effective as administering oxygen.

Assisting the patient to get up to the chair is not the most immediate action needed for a COPD patient with an oxygen saturation of 89%4.

Civil law deals with disputes between individuals or organizations, not with offenses against society as a whole.

Common law is a system of law based on precedent and customs, not a classification of offenses.

A felony is a serious crime that is often punishable by imprisonment for more than one year. Parking on a sidewalk is not considered a serious crime.

Respite care is temporary care provided to give the primary caregiver a break, which is not the primary need of a patient recovering from a hip fracture.

Wound care would be more appropriate for a patient with a wound or ulcer that requires regular dressing changes, not for a patient recovering from a hip fracture.

Hospice care is end-of-life care for patients with terminal illnesses. It is not appropriate for a patient recovering from a hip fracture.

This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.

This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.

This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.

Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.

Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.

Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.

While trust is an important aspect of the patient-family relationship, it’s not the primary need being considered in this scenario. The nurse is discussing allowing patient families to visit as often as the patient’s condition will allow. This is more about providing emotional and social support to the patient, rather than building trust.

While environmental considerations are important in any care setting, they’re not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.

Dependence is not the primary need being considered in this scenario. The nurse is discussing the frequency of family visits, which is more about providing social support to the patient.
While patients in the ICU may be dependent on medical staff for their physical needs, the presence of family can provide emotional and social support.

This choice provides information about the patient’s condition, which corresponds to the “Situation” in SBAR123.

This choice provides background information about the patient’s medical history, which corresponds to the “Background” in SBAR123.

This choice provides an assessment of the patient’s pain level, which corresponds to the “Assessment” in SBAR123. In the SBAR model, the “Assessment” is where the nurse would share their analysis or what they think about the situation.

Subjective documentation cannot be quantified. It is based on the patient’s personal experiences and perceptions, which can vary greatly among individuals.

A patient’s description is an example of subjective data, not objective data. Subjective data is information that comes directly from the patient and includes their feelings, perceptions, and reported symptoms.

Subjective data can incorporate a patient’s emotions. Emotions can provide valuable insights into a patient’s mental and emotional health, which is an important aspect of overall health.