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. Pedal edema is related to fluid retention or circulatory issues, not atelectasis.

B. Dysphagia, or difficulty swallowing, is not typically associated with atelectasis.

C. Distended neck veins are a sign of increased central venous pressure, not atelectasis.

D. Dyspnea, or difficulty breathing, is a common sign of atelectasis, which is the collapse of part or all of a lung, leading to impaired gas exchange.

A. Return the excess medication to the secure cabinet. B. Have a second nurse witness the disposal of the excess medication. C. Save the excess medication for the next administration. D. Place the excess medication in the sharps container.

Correct Answer is B

Explanation

A. Excess medication that has been withdrawn from a vial should not be returned to the secure cabinet to avoid contamination and ensure safety.

B. It is standard practice to have a second nurse witness and document the disposal of excess medication, especially controlled substances like morphine, to ensure accurate accounting and compliance with regulations.

C. Saving excess medication for the next administration is not safe practice and could lead to medication errors or contamination.

D. Placing the excess medication in the sharps container is incorrect because liquid medications should not be disposed of in this manner; they should be properly wasted according to facility protocols.

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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 D

Explanation

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Correct Answer is B

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