A nurse is preparing to administer aspirin 650 mg PO every 12 hours. The amount available is aspirin 325 mg tablets.

How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.

(Do not use a trailing zero) 

Choice A rationale
This statement does not provide a recommendation for the next steps in the patient’s care. The R step in SBAR stands for Recommendation, which involves suggesting what should be done to address the situation. Stating that there are no provider’s prescriptions available does not fulfill this requirement.
Choice B rationale
This statement is more appropriate for the Assessment step, where the nurse describes the patient’s current condition. The R step should focus on what actions need to be taken next, not just the patient’s current state.
Choice C rationale
This statement is correct because it provides a clear recommendation for the next steps in the patient’s care. The R step in SBAR is meant to suggest what should be done to address the situation, and reviewing the client’s orders is a specific action that can be taken.
Choice D rationale
This statement is more appropriate for the Situation or Background steps, where the nurse describes what has happened to the patient. The R step should focus on what actions need to be taken next, not just the patient’s history.

Choice A rationale
A 30-year-old male patient with an active GI bleed requiring multiple blood transfusions is not suitable for assignment to an LPN. This patient is unstable and requires close monitoring and frequent assessments, which are beyond the LPN’s scope of practice. The RN should manage this patient to ensure proper care and timely interventions.
Choice B rationale
A 55-year-old male patient who is post-surgery and ready for discharge, requiring discharge instructions, is also not suitable for assignment to an LPN. Discharge instructions involve comprehensive education and assessment of the patient’s understanding, which are responsibilities of the RN. The RN must ensure the patient comprehends the instructions and can safely manage their care at home.
Choice C rationale
A 40-year-old diabetic patient requiring re-teaching on insulin administration is the best choice for assignment to an LPN. This patient is stable and the task of re-teaching insulin administration falls within the LPN’s scope of practice. The LPN can effectively provide education and ensure the patient understands how to administer insulin correctly.
Choice D rationale
A newly admitted patient is not suitable for assignment to an LPN. New admissions require comprehensive assessments and care planning, which are responsibilities of the RN. The RN must evaluate the patient’s condition, develop a care plan, and initiate appropriate interventions.