For each entry below, choose the component of SBAR that it most accurately represents.
Documentation entry: "The patient has a fractured right tibia with a cast that was applied 2 days ago.
The nurse requests that the primary health provider examine the patient.
The patient reported his pain as a 7 on a 0-10 pain scale 1 hour after he received Norco 10mg PO. The patient's toes are cool and pale, and the patient reports that the foot feels numb.”.

Choice A rationale

"The patient has a fractured right tibia with a cast that was applied 2 days ago" provides the Background, giving relevant history about the patient's current condition. "The nurse requests that the primary health provider examine the patient" is the Recommendation, suggesting a course of action based on the assessment. "The patient reported his pain as a 7 on a 0-10 pain scale 1 hour after he received Norco 10mg PO" describes the Situation, highlighting the current problem or change in condition. "The patient's toes are cool and pale, and the patient reports that the foot feels numb" is the Assessment, presenting the nurse's findings and interpretation of the patient's status.

Choice B rationale

This option incorrectly assigns the documentation entries to the SBAR components. The fractured tibia and cast history are background, not the immediate situation. The pain report after medication is the situation, not background. The recommendation is correctly identified, but the cool, pale, numb toes are the assessment, not the recommendation.

Choice C rationale

This option misidentifies the components. The cool, pale, numb toes are assessment findings, not the situation. The pain report after medication is the situation, not background. The fractured tibia and cast history are background, not the assessment. The request for provider examination is the recommendation.

Choice D rationale

This option incorrectly orders the SBAR components. The request for provider examination is the recommendation, not the situation. The cool, pale, numb toes are the assessment, not the background. The pain report after medication is the situation. The fractured tibia and cast history are background. .