A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?

“I am calling about Mrs. Smith’s recent development of dyspnea."

"The client is post op day 1 following a lung resection"

"Could you provide an order for an incentive spirometer?”

"The client's respirations are 24 even and bilateral. Afebrile.”

Answer and Explanation

The Correct Answer is B

A. “I am calling about Mrs. Smith’s recent development of dyspnea." This statement is part of the Situation (S) step, describing why the nurse is calling.
B. "The client is post-op day 1 following a lung resection." This statement provides Background (B) information, giving context about the patient’s medical history and recent events.
C. "Could you provide an order for an incentive spirometer?" This statement is part of the Recommendation (R) step, where the nurse suggests a specific action or order.
D. "The client's respirations are 24, even and bilateral. Afebrile." This statement is part of the Assessment (A) step, describing the current clinical findings or assessment of the patient’s condition.

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Correct Answer is C

Explanation

A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.

A. The nurse determines the client’s readiness to learn B. The nurse discusses types of food that the client needs to avoid C. The nurse describes which supplies would be needed D. Ask the client to demonstrate emptying of the colostomy bag

Correct Answer is A

Explanation

A. The nurse determines the client’s readiness to learn: Assessing the client's readiness to learn is part of the assessment phase of the teaching plan. It involves evaluating the client’s emotional and cognitive state to ensure they are prepared to absorb new information.
B. The nurse discusses types of food that the client needs to avoid: This is part of the teaching or implementation phase, not the assessment phase.
C. The nurse describes which supplies would be needed: Describing necessary supplies is also part of the teaching or implementation phase.
D. Ask the client to demonstrate emptying of the colostomy bag: This is part of the evaluation phase, where the nurse assesses the client’s ability to perform the task taught.

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A nurse is planning to use the SBAR communication tool when calling a provider. Which of the following statements should the nurse include in the B step?

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Naxlex Comprehensive Predictor Exams

A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

Correct Answer is C

Explanation

The nurse is preparing a teaching plan for a client who is learning how to care for their colostomy. The nurse should identify the following actions as part of the assessment step in the teaching plan.

Correct Answer is A

Explanation

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