A nurse is caring for a preschooler at a clinic.

 

For each of the provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A. Reason for admission: The background portion of an SBAR (Situation, Background, Assessment, Recommendation) report provides context about the client’s medical history and the reason for admission. Including this information helps the provider understand the client’s baseline status, underlying conditions, and relevant history, which is essential for making informed clinical decisions.

B. Current vital signs: Current vital signs are part of the “Assessment” section of SBAR. They describe the client’s immediate physiological status rather than historical context, so they belong after the background is established.

C. Description of present situation: The present situation is the “Situation” portion of SBAR. It highlights the acute change or reason for the call to the provider and comes before the background section in the report structure.

D. Recent laboratory results: Laboratory results are also part of the “Assessment” section of SBAR. They provide objective data to support the nurse’s evaluation of the client’s condition but are not part of the historical background information.

A. Use metaphors to help express meaning: Using metaphors can introduce confusion when working through an interpreter, as cultural and linguistic differences may cause misinterpretation. Medical explanations should be clear, simple, and literal to ensure the client accurately understands the information.

B. Ask the client's family members to assist the interpreter: Family members should not serve as interpreters for medical explanations. Using untrained interpreters can lead to errors, breaches of confidentiality, and incomplete or inaccurate information. Professional medical interpreters ensure accurate communication and patient safety.

C. Direct all information to the client: When using a medical interpreter, the nurse should address all information directly to the client, not the interpreter. This approach maintains respect for the client, promotes engagement, and ensures that the client is the focus of the teaching, while the interpreter facilitates communication.

D. Include medical terminology when explaining the procedure: Excessive medical terminology can confuse clients, especially when translation is involved. The nurse should use plain language, explain terms in simple words, and avoid jargon to ensure comprehension through the interpreter.