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Practice Question

A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?

Answer Choices:

Correct Answer:

Code status

Rationale:

✍In the SBAR (Situation, Background, Assessment, Recommendation) communication model, the Background section includes essential clinical details that provide context for current care decisions.

✍Code status (e.g., Full Code, DNR) is a critical element because it defines the scope of emergency interventions the client should receive.

✍Including code status ensures all team members are aware of the client's resuscitation preferences, which is vital for safe, ethical, and timely care planning, particularly in acute or high-risk situations like traumatic brain injuries.

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This question is from RN Nur 104 Final Assessment Fundamentals which contains 38 questions.

More Questions from This Exam
A nurse is administering timolol eye drops to a client who has glaucoma. Which of the following actions should the nurse take?

Answer Choices:

A. Drop prescribed amount of medication into the conjunctival sac.
B. Protect the distal portion of the eyedropper using clean technique.
C. Apply pressure to the bridge of the nose after administration.
D. Wipe the eye from the outer canthus to the inner canthus before instillation.
A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)

Answer Choices:

A. Question any part of the order that is unclear or inappropriate_
B. Transcribe the order into the client's health record.
C. Implement a recorded order message if the nurse can hear and understand it clearly
D. Repeat the order back to the provider.
E. Obtain the provider's signature within 8 hr.
From Exam
RN Nur 104 Final Assessment Fundamentals

38 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Fundamentals of Nursing
  • Answer Choices: 4
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