To ensure optimal outcomes for the patient, the contemporary maternity nurse must incorporate both teamwork and communication with clinicians into her care delivery,
The SBAR technique of communication is an easy-to-remember mechanism for communication. Which of the following correctly defines this acronym?
a. Situation, baseline assessment, response
b. Situation, background, assessment, recommendation
c. Subjective background, assessment, recommendation
d. Situation, background, anticipated recommendation
ANS: B
The situation, background, assessment, recommendation (SBAR) technique provides a specific framework for communication among health care providers. Failure to communicate is one of the major reasons for errors in health care. The SBAR technique has the potential to serve as a means to reduce errors.
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A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance would be to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis. 2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications. 3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively. 4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.
The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which of the following symptoms should the nurse monitor this child?
1. Thrombocytopenia and leukocytosis 2. Oliguria and altered levels of consciousness 3. Respiratory distress and cyanosis 4. Upper-extremity edema and neck vein distension
Which safety measure is most important for the nurse to institute for a client who has Cushing's disease?
a. Pad the siderails of the client's bed. b. Assist the client to change positions slowly. c. Use a lift sheet to change the client's posi-tion. d. Keep suctioning equipment at the client's bedside.
A client experiencing occasional minor digestive problems asks the nurse about herbal therapy. Which herbs would the nurse recommend?
1. Tumeric 2. Green tea 3. Ginger 4. Grape seed 5. Stevia