A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

Background

Recommendation

Situation

Assessment

Answer and Explanation

The Correct Answer is A

A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.

B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.

C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.

D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.

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Correct Answer is B

Explanation

A. Positioning with legs and rectum lower than the stomach is not recommended and may not relieve gas or discomfort.

B. Ambulation helps stimulate peristalsis and the passage of gas, which can relieve discomfort from abdominal distension and flatus.

C. Using a straw can increase air swallowing, which may worsen gas and abdominal discomfort.

D. Cold liquids may slow down digestion and peristalsis, potentially worsening abdominal distension.

A. “Distributive shock occurs due to increased systemic vascular resistance." B. “Distributive shock occurs due to loss of blood volume." C. "Distributive shock occurs due to loss of myocardial contractility." D. Distributive shock occurs due to systemic vasodilation."

Correct Answer is D

Explanation

A. Increased systemic vascular resistance is more characteristic of obstructive or cardiogenic shock rather than distributive shock.

B. Loss of blood volume describes hypovolemic shock, not distributive shock.

C. Loss of myocardial contractility pertains to cardiogenic shock, not distributive shock.

D. Distributive shock is characterized by systemic vasodilation leading to a decrease in systemic vascular resistance and inadequate tissue perfusion.

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A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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