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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.
Correct Answer is "{\"xRanges\":[333.4270782470703,393.4270782470703],\"yRanges\":[222.1666259765625,282.1666259765625]}"
Explanation
Granulation tissue is a key component of the healing process for wounds and appears as new connective tissue and microscopic blood vessels that form on the surfaces of a wound during the healing process. It typically appears red or pink, indicating the presence of new blood vessels (capillaries). It has a moist, bumpy, or grainy texture. The tissue might look uneven or pebbled. It progressively covers the wound bed, starting from the edges and moving toward the center, eventually filling the wound cavity.
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