A nurse is calling a provider and will use the SBAR communication tool. Which of the following statements should the nurse include in the "B" section?
There are no provider's prescriptions available.
The client is disoriented, and pupils are slow to respond to light.
The client was found unconscious on the floor in her home.
The client should be seen by a neurologist.
The Correct Answer is B
Choice A reason: Stating that there are no provider’s prescriptions available does not belong in the "Background" section of SBAR. This information is administrative rather than clinical and does not provide relevant context about the client’s current condition.
Choice B reason: The client being disoriented with pupils slow to respond to light is appropriate for the "Background" section. SBAR requires the nurse to provide pertinent clinical information that explains the client’s current status. This detail gives the provider context about neurological function and supports decision-making.
Choice C reason: Reporting that the client was found unconscious on the floor belongs in the "Situation" section, not "Background." The "Situation" describes the immediate problem, while "Background" provides supporting clinical history.
Choice D reason: Suggesting that the client should be seen by a neurologist is part of "Recommendation," not "Background." SBAR separates objective data from subjective recommendations to maintain clarity in communication.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Calculating the dosage in milligrams is necessary, but it cannot be done until the client’s weight is converted to kilograms. Since the order is based on mg/kg, the first step must be to determine the weight in kilograms.
Choice B reason: Converting the client’s weight to kilograms is the first and most essential step. The client weighs 98 lb. Step 1: 98 ÷ 2.2 = 44.5 kg. This conversion provides the basis for calculating the correct dose in mg/kg. Without this step, the dosage calculation would be inaccurate.
Step-by-step dosage calculation (for clarity):
Step 1: Convert weight to kilograms → 98 ÷ 2.2 = 44.5 kg.
Step 2: Multiply by ordered dose → 44.5 × 15 mg = 667.5 mg.
Step 3: Determine concentration → 250 mg ÷ 5 mL = 50 mg/mL.
Step 4: Divide required dose by concentration → (667.5 ÷ 50) = 13.35 mL.
Step 5: Round to nearest whole number → 13 mL.
Thus, the nurse should administer 13 mL of cefadroxil suspension after completing all steps.
Choice C reason: Rounding the amount to the nearest whole number is done at the final stage of calculation, after determining the exact dose in milliliters. It is not the first step and should only be performed once the precise dose is calculated.
Choice D reason: Calculating the dosage in milliliters is also necessary, but it comes after determining the dose in milligrams. Since the available concentration is 250 mg/5 mL, the nurse must first know the required mg dose before converting it to mL.
Correct Answer is C
Explanation
Choice A reason: Involving the client in decision-making is an example of client-centered care, not interprofessional collaboration. While it is essential for respecting autonomy and promoting adherence, it does not involve coordination between different health care disciplines.
Choice B reason: Including family members in care planning is part of holistic and family-centered care. It supports emotional and social needs but does not represent collaboration between different professional disciplines.
Choice C reason: Consulting with a physical therapist about care decisions is a clear example of interprofessional collaboration. It involves communication and coordination between professionals from different fields—nursing and physical therapy—to optimize client outcomes. This demonstrates teamwork across disciplines, which is the essence of interprofessional practice.
Choice D reason: Working with another nurse to perform a procedure is considered intraprofessional collaboration, as it involves professionals from the same discipline. While valuable, it does not meet the definition of interprofessional collaboration, which requires input from different health care professions.
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