A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

Situation

Recommendation

Introduction

Assessment

Answer and Explanation

The Correct Answer is D

A. Situation This component includes the immediate issue or reason for the report.
B. Recommendation This includes what the nurse suggests or recommends should happen next.
C. Introduction This includes the nurse's name, role, and patient details.
D. Assessment This includes the nurse's findings, including lung sounds, vital signs, and other assessment data.

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Correct Answer is D

Explanation

A. Levothyroxine 100 mcg PO qd "qd" is an error-prone abbreviation and should be avoided. It should be written as "daily."
B. Heparin 15,000 units SC q12h "SC" is an error-prone abbreviation and should be written as "subcutaneously."
C. Lorazepam 0.5 mg PO qhs "qhs" is an error-prone abbreviation and should be written as "at bedtime."
D. Acyclovir 400 mg PO tid This is correctly transcribed using acceptable abbreviations.

A. Offer to give the client a back massage using warm lotion. B. Explain that the client might not receive another dose for a few hours. C. Ask the client about his previous pain relief measures. D. Request that the provider prescribe another dose of opioid analgesia.

Correct Answer is C

Explanation

A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.

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A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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