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. Secondary: Secondary prevention involves early detection and prompt intervention to prevent progression of disease.
B. Disease process: This term does not describe a level of prevention.
C. Tertiary: Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects. Rehabilitation after a stroke is an example of tertiary prevention.
D. Primary: Primary prevention aims to prevent disease or injury before it ever occurs.

A. preparing the client for discharge B. On initial evaluation by the home health nurse C. reassessing a client for pain after giving pain medication D. checking skin assessment on a patient with a medical device in place

Correct Answer is C

Explanation

A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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