A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Date of client's admission to the facility

Summary of a change in the client's condition

Brief explanation of the client's current condition

Request for provider to consult physical therapy

Answer and Explanation

The Correct Answer is A

A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.

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Correct Answer is A

Explanation

A. Verify the client's understanding beyond affirmative nodding. It's crucial to ensure that the client truly understands the information, as nodding may not always indicate comprehension.
B. Encourage the client to drink iced water to manage an elevated temperature. This advice is not culturally specific and may not be appropriate for all clients.
C. Avoid using gestures when communicating with the client. Gestures can be helpful but should be used with caution as they can have different meanings in different cultures.
D. Inform the client that herbal remedies are not effective in treating tuberculosis. This dismisses the client's cultural beliefs and practices and can be seen as culturally insensitive. Instead, the nurse should provide evidence-based information and work with the client's beliefs.

A. Ask the client to tilt her head back when swallowing. B. Offer the client larger portions of food during the meal. C. Use spoons, instead of cups, when serving liquids to the client. D. Encourage the client to complete the meal within 15 min.

Correct Answer is C

Explanation

A. Ask the client to tilt her head back when swallowing. Tilting the head back can increase the risk of aspiration. Clients with dysphagia should be instructed to tuck their chin to their chest when swallowing.
B. Offer the client larger portions of food during the meal. Smaller portions are safer for clients with dysphagia to reduce the risk of choking and aspiration.
C. Use spoons, instead of cups, when serving liquids to the client. This is correct. Using spoons can help control the amount of liquid the client receives, reducing the risk of aspiration.
D. Encourage the client to complete the meal within 15 min. Rushing a meal increases the risk of choking and aspiration. Clients with dysphagia should eat slowly and take small bites.

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A nurse is using the SBAR communication tool for change-of-shift report on a client to an oncoming nurse. Which of the following information should the nurse plan to include in the background step of SBAR?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has tuberculosis and speaks a different language than the nurse. When providing culturally competent care, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting a client who has dysphagia at meal time. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse in a pediatric intensive care unit is admitting a toddler who has bacterial meningitis. Which of the following isolation precautions should the nurse implement?

A nurse is teaching about environmental safety issues to a group of assistive personnel. Which of the following actions should the nurse include as the priority in the event of a fire in a client's room?

A nurse is preparing to witness a client sign the informed consent form for a diagnostic procedure. Which of the following statements should the nurse make before the client signs the form?

A nurse in a long-term care facility is admitting a client who has occasional urinary incontinence. To adhere to The Joint Commission's National Patient Safety Goals, which of the following actions should the nurse plan to take?

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A nurse on an acute care unit receives a request from a client's provider to fax a laboratory report to his office. Which of the following actions should the nurse take?

A nurse manager is conducting an in-service on environmental safety and responding to fires for a group of nurses. Which of the following actions should the nurse manager identify as the first step in using a fire extinguisher?

A nurse is teaching a female client about urinary tract infection prevention. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)