The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change in patient status to a health care provider. In which order should the nurse make the following statements?
(Put a comma and a space between each answer choice [A, B, C, D].)
a. "The patient needs to be evaluated immediately and may need intubation and mechanical ventilation."
b. "The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low."
c. "The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89%. Her condition is very unstable."
d. "This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour."
ANS:
D, B, C, A
The order of the nurse's statements follows the SBAR format.
You might also like to view...
The nurse is caring for a patient admitted with unstable angina. The laboratory results reveal that the initial troponin I level is elevated in this patient. What conclusion should the nurse draw from this fact?
A) This is only an accurate indicator of myocardial damage when it reaches its peak in 24 hours. B) Because the entry diagnosis is unstable angina, this is a poor indicator of myocardial injury. C) This is an accurate indicator of myocardial injury. D) It is only an accurate indicator of skeletal muscle injury.
A client has experienced a cerebrovascular accident (stroke) with residual one-sided paralysis. The client also has problems with bowel elimination and needs routine laxatives (glycerin suppositories [Colace] and milk of magnesia) in order to pass stool
Which nursing diagnosis is indicated by this care plan? 1. Colonic constipation related to the need for a suppository to induce bowel movement 2. Perceived constipation related to beliefs about normal bowel function 3. Constipation related to immobility 4. Constipation related to excessive medication use
A 19-year-old woman comes to the gynecologist's office. When the nurse asks the reason for this visit, the woman explains that she has never had a menstrual period and that she is concerned there may be something wrong
The diagnosis that the physician is most likely to make based on this information is: A. Primary dysmenorrhea. B. Secondary infertility. C. Primary amenorrhea. D. Secondary amenorrhea.
A school has a policy in place which allows unlicensed assistive personnel to administer medications to students after having their competency evaluated by a registered nurse. Which type of delegation is being used?
a. Direct b. Indirect c. Supervised d. Guided