The following is an example of what part of the SBAR communication mnemonic? "Her blood pressure has decreased from 140/90 to 100/50 and she vomited 400 mL of bright red blood."
a. S
b. A
c. R
d. B
A
This is an example of S-Situation—what is happening at the present time. Background (explain the circumstances leading up to the situation). Assessment (what you think the problem is). Recommendation (what you would do to correct the problem)
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The nurse is caring for a patient with Alzheimer disease (AD). A family member of the patient asks the nurse, "Is this disease genetic?" What is the nurse's best response? Select all that apply
1. "Some forms of AD have a genetic pattern." 2. "Early-onset AD is more likely familial than late-onset AD." 3. "One-third to one-half of all AD may be the genetic form." 4. "One-quarter to one-third of all AD my be the genetic form." 5. "There is not any evidence of a genetic link with AD."
A client with acute gastritis is admitted to the emergency department for GI bleeding. The nurse would anticipate the client's history will include
a. alcohol abuse. b. anorexia. c. high-carbohydrate, high-fat diet. d. recent use of oral penicillin.
A client has severe hearing loss that occurred within the last year. It is important for the nurse to also assess the client for
a. accompanying visual losses. b. frustration and loneliness. c. hypertension and heart disease. d. impaired physical mobility.
A family is meeting with the nurse to discuss their concern about their 78-year-old family member who is having difficulty chewing food. The client is refusing a pureed diet
Which of the following are examples of food the family can offer? Select all that apply. A) Ripe bananas D) Fried potatoes B) Soft melon E) Roasted chicken C) Cooked carrots