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?

Choice A reason: An aPTT (activated partial thromboplastin time) of 34 seconds is within the therapeutic range for heparin therapy. There is no immediate need for an interdisciplinary conference based solely on this result. The nurse can continue monitoring the client's aPTT and adjust heparin dosing as needed. The aPTT value is appropriate for the client's condition, and no urgent intervention is required.

Choice B reason: Insulin pump management primarily involves coordination between the patient and the diabetes care team. While education and ongoing support are essential, an interdisciplinary conference is not typically necessary for routine insulin pump use. Insulin pump management is a well-established process that does not require immediate collaboration among multiple disciplines.

Choice C reason: Orthostatic hypotension is a condition where blood pressure drops significantly upon standing. IV fluids are commonly used to manage orthostatic hypotension by increasing blood volume and improving blood pressure regulation. An interdisciplinary conference would involve collaboration among healthcare professionals to address the client's specific needs related to orthostatic hypotension, fluid management, and prevention of complications. Orthostatic hypotension requires coordinated efforts from various disciplines to optimize care.

Choice D reason: While albumin levels are relevant for assessing nutritional status and wound healing, this specific scenario does not necessitate an interdisciplinary conference. Pressure ulcer prevention and management can be addressed through routine nursing assessments and interventions. Pressure ulcer risk and albumin levels can be managed within the nursing scope without immediate interdisciplinary collaboration.

Choice A reason: Evaluating the outcomes is not the first step in the evidence-based practice process, but the last one. The nurse should evaluate the outcomes after implementing the findings and comparing them with the expected results.

Choice B reason: Implementing the findings is not the first step in the evidence-based practice process, but the fourth one. The nurse should implement the findings after searching for evidence, appraising the quality and relevance of the evidence, and synthesizing the evidence.

Choice C reason: Formulating a question is the first step in the evidence-based practice process, as it helps to define the problem, the population, the intervention, the comparison, and the outcome. The nurse should formulate a question that is clear, specific, and answerable.

Choice D reason: Searching for evidence is not the first step in the evidence-based practice process, but the second one. The nurse should search for evidence after formulating a question, using appropriate sources, keywords, and strategies.