An emergency department (ED) nurse gives report on a client who is being transferred to the medical-surgical floor. Because of an identified risk for suicide, the ED nurse suggests that the floor nurse contact a sitter and behavioral health

This statement represents which part of the SBAR hand-off? a. Situation
b. Background
c. Assessment
d. Recommendation


D
The ED nurse is giving recommendations to the medical-surgical floor nurse about interven-tions to start for the client who is being transferred. No communication is provided in the SBAR report about the situation, background, or assessment.

Nursing

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The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth. What practice change might result from this review of the literature?

A. Administering fewer doses of Rho(D) immune globulin (RhoGAM) B. Decreased utilization of cerclage placement in women with preterm labor C. Measuring serial cervical lengths in all women pregnant with singletons D. Providing betamethasone (Celestone) as long-term therapy

Nursing

A pregnant client expresses concern that she will develop varicose veins toward the end of her pregnancy. The nurse should recognize that varicose veins are the result of:

a. a genetic defect in the valves of lymph ducts in the lower extremities b. compression of the abdominal veins by the progressively enlarging uterus c. increased cardiac volume that normally occurs in the last half of the pregnancy d. increased fluid volume resulting from the placental filtering of maturing fetal systems

Nursing

The nurse is assessing a client who is diagnosed with a sleep disturbance. Which statement is true regarding the physiology of sleep?

a. It is difficult to awaken the sleeper from stage 1 sleep. b. Ten percent of normal adult sleep may be spent in stage 2 sleep. c. Most sleepwalking and enuresis occurs in stage 2 sleep. d. The majority of growth hormone is secreted at night during stage 3 to stage 4 sleep.

Nursing

The major advantage of using propofol for short-term sedation is that it

a. has fewer side effects. b. is slow to cross the blood-brain barrier. c. has a shorter half-life and rapid elimination rate. d. is an excellent amnesiac.

Nursing