SBAR is a technique used during interprofessional collaboration that requires immediate attention and action concerning a patient's condition. A pharmacist communicates the following to a nurse:
"This is the pharmacist calling about Ms. L, a 72-year-old patient admitted to the medicine floor for pneumonia. She was started on the antibiotic vancomycin yesterday. Her lab values now show that her kidney function is decreasing. Her serum creatinine has increased from 0.9 mg/dL to 1.5 mg/dL since admission. I am concerned about nephrotoxicity."
Which SBAR component is has the pharmacist neglected to say?
Situation
Background
Assessment
Recommendation
The Correct Answer is D
A. Situation: The pharmacist clearly states the reason for the call, including the patient’s identity, age, admission diagnosis, and the current concern regarding vancomycin therapy, fulfilling the Situation component.
B. Background: Relevant background information is provided, including the patient’s admission for pneumonia, the start of vancomycin therapy, and previous lab values, covering the Background component.
C. Assessment: The pharmacist identifies the problem of declining kidney function and rising serum creatinine, demonstrating clinical assessment of the patient’s status.
D. Recommendation: The pharmacist does not provide a clear recommendation for the next steps, such as suggesting a vancomycin dose adjustment, monitoring plan, or alternative therapy. Including this would complete the SBAR communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. What hormone therapy are you using?: Hormone therapy can significantly affect pharmacokinetics, drug metabolism, and interactions. Knowing current hormone regimens is essential for safe and effective medication management.
B. What is the name of your insurance? Is it a PPO or HMO?: While insurance information is important for billing, it does not directly impact medication history or clinical safety. This is not a priority question in medication review.
C. What pronouns do you prefer to be called?: Using the patient’s preferred pronouns demonstrates respect, fosters trust, and improves communication during medication history-taking. It is an important aspect of patient-centered care.
D. What was your gender defined at birth?: Birth-assigned sex can influence drug dosing, laboratory interpretations, and physiological considerations. Knowing this information helps tailor medication recommendations appropriately, especially during a gender transition.
Correct Answer is A
Explanation
Interprofessional collaboration involves multiple healthcare professionals from different disciplines working together to deliver patient-centered care. It emphasizes communication, shared decision-making, and coordination to improve health outcomes. Delivering patient-specific care as part of such a team exemplifies this collaborative approach.
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