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. 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.

A. Obtain the client's consent. B. Explain the risks and benefits of the procedure. C. Describe the consequences of forgoing treatment. D. Witness the client's signature.

Correct Answer is D

Explanation

A. Obtaining informed consent is the responsibility of the physician or surgeon, not the nurse.

B. Explaining the risks and benefits is the role of the physician or surgeon, who provides detailed information about the procedure.

C. Describing the consequences of forgoing treatment is part of the informed consent process but is the responsibility of the physician.

D. The nurse’s role in informed consent includes witnessing the client's signature to verify that consent was given voluntarily and with an understanding of the procedure.

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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

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