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 D

Explanation

A. Disagreements about staffing issues should be addressed through appropriate channels, but they do not typically require an incident report.

B. The absence of advanced directives is a concern that needs to be addressed, but it does not constitute an incident that requires reporting.

C. A staff member not arriving for their shift is a staffing issue but does not require an incident report unless it directly affects client care.

D. Missing dentures are considered a loss of personal property, which requires documentation through an incident report to ensure accountability and to initiate a search or compensation process.

A. Discussing the client's resting times with the family B. Ensuring that the client and their family are kept informed about the client's care C. Being aware of the client's wishes regarding care D. Scheduling periods of rest for the client

Correct Answer is C

Explanation

A. Discussing rest times with the family is important but is not the priority in managing MODS.

B. Keeping the client and family informed is crucial, but the priority is to understand and respect the client's wishes regarding their care.

C. In a client with MODS, understanding and respecting the client’s wishes, particularly regarding end-of-life care, is the priority. This ensures that care aligns with the client’s values and goals.

D. Scheduling rest is essential for managing fatigue and conserving energy but does not take precedence over respecting the client's care preferences.

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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?

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