Author Question: The nurse is caring for a client who is becoming increasingly short of breath. The nurse decides to ... (Read 92 times)

jrubin · **on:** Jul 8, 2018

The nurse is caring for a client who is becoming increasingly short of breath. The nurse decides to call the physician. Which of the following should the nurse initially do when speaking with the physician?

a. State the problem
b. Tell what is needed
c. State the client's allergies
d. Relate the client's background

Question 2

When calling a physician, the nurse tells the physician her name, what unit and what hospital she is calling from, the client's name, and that the client is having trouble breathing.

The nurse is demonstrating which step in the SBAR format for communicating with a client's physician?

a. Situation
b. Assessment
c. Background
d. Recommendation

alexanderhamilton · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
During the situation component of SBAR, the nurse identifies herself, the client, and the problem. During the recommendation component of SBAR, the nurse tells what is needed. During the background component of SBAR, the nurse relates the client's background.

Answer to Question 2

ANS: A
An example of the situation component of SBAR reporting is: Dr. Preston, this is Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood, who's having trouble breathing. An example of the assessment component of SBAR reporting is: I don't hear any breath sounds in his right chest. I think he has a pneumothorax. An example of the background component of SBAR reporting is: Kyle Lakewood, DOB 7/1/60, a 53-year-old man with chronic lung disease, admitted 12/25, who has been sliding downhill 2 hours. Now he's acutely worse: VS heart rate 92, respiratory rate 40 with gasping, B/P 138/94, oxygenation down to 72. An example of the recommendation component of SBAR reporting is: I need you to see him right now. I think he needs a chest tube.