The nurse uses the Situation-Background-Assessment-Recommendation ...

[bcretired]

The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change in patient status to a health care provider. In which order should the nurse make the following statements?
 
  (Put a comma and a space between each answer choice A, B, C, D.)
  a. The patient needs to be evaluated immediately and may need intubation and mechanical ventilation.
  b. The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low.
  c. The patient has crackles audible throughout the posterior chest and the most recent oxygen saturation is 89. Her condition is very unstable.
  d. This is the nurse on the surgical unit. After assessing the patient, I am very concerned about increased shortness of breath over the past hour.

Question 2

The nurse is administering medications to a patient. Which actions by the nurse during this process are consistent with promoting safe delivery of care (select all that apply)?
 
  a. Throws away a medication that is not labeled
  b. Uses a hand sanitizer before preparing a medication
  c. Identifies the patient by the room number on the door
  d. Checks lab test results before administering a diuretic
  e. Gives the patient a list of current medications upon discharge

[at]

Answer to Question 1

ANS:
D, B, C, A
The order of the nurse's statements follows the SBAR format.

Answer to Question 2

ANS: A, B, D, E
National Patient Safety Goals have been established to promote safe delivery of care. The nurse should use at least two reliable ways to identify the patient such as asking the patient's full name and date of birth before medication administration. Other actions that improve patient safety include performing hand hygiene, disposing of unlabeled medications, completing appropriate assessments before administering medications, and giving a list of the current medicines to the patient and caregiver before discharge.