A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

A prescribed consultation

The client's vital signs

The client's name

The client's code status

Answer and Explanation

The Correct Answer is D

This is important information that should be included in the background section. Understanding a client's code status (e.g., full code, DNR) is critical for the receiving team, as it affects the management and response to the client’s care.
A. Recommendation
B. Assessment
C. While the client's name is important for identification, it is generally considered part of the introduction rather than the background. The background focuses more on medical history and relevant context.

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Correct Answer is C

Explanation

Restraints should be removed every two hours to assess skin integrity under the restraints and distal circulation

A. A square knot may be difficult to release in the case of an emergency

B. Restraints should be attached to movable parts of the bed to avoid injury during pulling.

D. Allow two fingerbreadths between the restraint and the wrist

A. Request that the coworker complete an incident report. B. File an anonymous report of the incident to the nurse manager. C. Identify all witnesses to the incident. D. Document a factual account of the incident. E. Submit an incident report to the risk manager.

Correct Answer is ["B","C","D","E"]

Explanation

The incident is very important as it affects the cost effectiveness of care. An incident report should be submitted anonymously to prevent work place tension while preventing such similar occurrences. Witnesses are important in the event the nurse denies the occurrence.

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A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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