In the context of SBAR Communication, which part of the following message corresponds to the “A” in SBAR?

Mrs. S is a 60-year-old patient with appendicitis.

She is post-appendectomy.

Could we get an order for additional pain medication?

Her pain is rated 10/10 on a numerical scale.

Answer and Explanation

The Correct Answer is D

Choice A rationale
This choice provides information about the patient’s condition, which corresponds to the “Situation” in SBAR123.
Choice B rationale
This choice provides background information about the patient’s medical history, which corresponds to the “Background” in SBAR123.
Choice C rationale
This choice is asking for an order for additional pain medication, which corresponds to the “Recommendation” in SBAR123. In the SBAR communication model, the “Recommendation” is where the nurse would suggest a course of action or ask for an order.
Choice D rationale
This choice provides an assessment of the patient’s pain level, which corresponds to the “Assessment” in SBAR123. In the SBAR model, the “Assessment” is where the nurse would share their analysis or what they think about the situation.

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Correct Answer is C

Explanation

Choice A rationale
The dosage of Methadone 40.0 mg orally twice a day does not seem unusually low. Methadone is a potent opioid medication used for pain management and the treatment of opioid dependence. Its dosage should be individualized based on the patient’s condition and response to treatment16.
Choice B rationale
The abbreviation “BID” is not listed as a “Do not use” abbreviation. It is a commonly used medical abbreviation that stands for “bis in die,” which means “twice a day” in Latin16.
Choice C rationale
Trailing zeros should be avoided when writing medication orders. Writing “40.0 mg” instead of “40 mg” can lead to dosing errors if the decimal point is not seen, potentially resulting in a tenfold overdose16.
Choice D rationale
There is a need to contact the provider to clarify the order due to the potential for dosing errors associated with the use of trailing zeros16.

A. “An infection’s resolution can reverse delirium.”. B. “Delirium and dementia cannot coexist.”. C. “Sleep deprivation can lead to delirium.”. D. “Frequent reality orientation should be used with delirium.”.

Correct Answer is B

Explanation

Choice A rationale
An infection’s resolution can indeed reverse delirium. Delirium is often caused by a physical or mental illness, such as an infection.
Choice B rationale
The statement “Delirium and dementia cannot coexist” is incorrect and indicates a need for further education. Delirium and dementia can coexist.
Choice C rationale
Sleep deprivation can lead to delirium. This is a correct statement and does not indicate a need for further education.
Choice D rationale
Frequent reality orientation should be used with delirium. This is a correct statement and does not indicate a need for further education.

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In the context of SBAR Communication, which part of the following message corresponds to the “A” in SBAR?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is examining new medication orders for a patient and notes the following order: Methadone 40.0 mg orally twice a day. Why does the nurse contact the provider to clarify the order?

Correct Answer is C

Explanation

The nurse is providing education to the staff about delirium. Which statement made by a staff member indicates a need for further education?

Correct Answer is B

Explanation

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