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A nurse is using the SBAR communication tool when handing off a client to the
PACU nurse. Which of the following sections of the tool is the nurse using when
describing the client's comorbidities?
Background
A nurse is caring for a client in the PACU following a surgical procedure during
which they received moderate sedation. Which of the following interventions
should the nurse implement?
Monitor level of consciousness
A nurse is preparing a client for a surgical procedure. During which of the
following timeframes should the nurse initiate the prescribed antibiotic to help
decrease surgical site infections?
60 minutes before performing the surgical incision
, A nurse is caring for a client who is having a total abdominal hysterectomy. The
nurse prepares to teach the surgical client about minimizing the pain and
discomfort postoperatively. Which of the following priority instructions should the
nurse give the client?
Ensure the client understands splinting the incision and performing deep breathing
exercises.
A nurse is using the "I Pass the Baton" hand-off tool when transferring a client to
the operating room. Which of the following steps of the tool should the nurse use
when reporting the client has allergies to latex and penicillin?
Safety
A nurse is preparing to admit a client to an outpatient surgical center. Which of the
following will assist in collecting data that can be used to plan care during the
preoperative phase?
Physical assessment
A nurse is completing a preassessment for a surgical client. The nurse asks the
client whether they or anyone in their family has a history of complications from
anesthesia. Which of the following assessment findings is most concerning?
Malignant hyperthermia
A nurse transfers a client to the PACU postoperatively. During the hand-off report,
the nurse states that, "Dr. Jones performed a bowel resection." Which of the
following sections of the SBAR communication tool does this statement address?
Situation