A nurse is assessing a client.
Which of the following factors should the nurse consider?

Choice A rationale
Asking for an order for an incentive spirometer is a recommendation, which belongs in the R step of SBAR. The B step should provide background information about the patient’s condition.
Choice B rationale
Providing the client’s history of sleep apnea is appropriate for the B step, which involves giving background information relevant to the current situation.
Choice C rationale
Describing the client’s current respirations and temperature is part of the Assessment step, not the Background step. The B step should focus on the patient’s medical history and relevant background information.
Choice D rationale
Stating that the client was found unconscious on the floor is part of the Situation step, not the Background step. The B step should provide background information about the patient’s condition.

Choice A rationale
The assessment component of the SBAR report includes the nurse’s evaluation of the patient’s condition, such as pain level, blood pressure, and heart rate. This information is critical for the provider to understand the patient’s current status and make informed decisions.
Choice B rationale
The situation component of the SBAR report provides a brief overview of the patient’s current situation, such as the reason for the call or the immediate concern. It does not include detailed assessment data.
Choice C rationale
The recommendation component of the SBAR report includes the nurse’s suggestions for the next steps or actions to be taken. It does not include the patient’s assessment data.
Choice D rationale
The background component of the SBAR report provides relevant medical history and context for the patient’s current condition. It does not include the detailed assessment data.