The nursing instructor is explaining SBAR documentation to students before taking them into the clinical area. What would the instructor explain that the situation, background, and assessment are based on in SBAR charting?
A) The patient's background
B) Information that the nurse obtains from the family
C) Complete and accurate assessment data
D) Data in old records
C
You might also like to view...
The nurse admits an 85-year-old client to the acute care facility and contributes which of the following goals related to the normal results of aging?
1. The client will remain infection-free at time of discharge. 2. The client will reduce weight by 15 pounds within the next two months. 3. The client will demonstrate improved exercise tolerance as pneumonia resolves. 4. The client will improve cardiac output by 10% after maintaining a low-sodium diet and reducing fluid volume excess.
A client has a pituitary tumor that is placing pressure on the optic nerve and causing altered vision. Which nursing intervention is MOST important?
a. encouraging bed rest b. insisting that a family member remain in the room with the client at all times c. providing a safe, clutter-free environment. d. keeping the room well-lit at all times
The nurse is planning care for a postoperative client. Which is the best intervention to include in the care plan?
1. Encourage plenty of fluids. 2. Encourage independent ambulation. 3. Explain treatment measures to client. 4. Administer analgesic 30 minutes before physical therapy.
At what age does an infant start to recognize familiar faces and objects, such as a feeding bottle?
a. 1 month b. 2 months c. 3 months d. 4 months