A patient was admitted 2 days ago with pneumonia and a history of ...

[faduma]

A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having chest pain with a pulse rate of 108 . Using the SBAR, which piece of data will the nurse use for B?
 
  a. Having chest pain
  b. Pulse rate of 108
  c. History of angina
  d. Oxygen is needed.

Question 2

Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?
 
  a. Eyes closed, lying quietly, respirations 12, heart rate 60
  b. Eyes closed, tossing in bed, respirations 18, heart rate 80
  c. Eyes closed, mumbling to self, respirations 16, heart rate 68
  d. Eyes closed, lying straight in bed, respirations 22, heart rate 66

[bigsis44]

Answer to Question 1

C
The B in SBAR stands for background information. The background information in this situation is the history of angina. Having chest pain is the Situation (S). Pulse rate of 108 is the Assessment (A). Oxygen is needed is the Recommendation (R).

Answer to Question 2

A
During NREM sleep, biological functions slow. During sleep, the heart rate decreases to 60 beats per minute or less. The patient experiences decreased respirations, blood pressure, and muscle tone.

[faduma]

Thank you!

[bigsis44]

Always glad to help...