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NCLEX Question of the Day
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The nurse is giving a handoff report to the oncoming nurse about a 4-year-old child admitted with status asthmaticus who is now stable but requires frequent monitoring. Which statement best reflects effective SBAR (Situation, Background, Assessment, Recommendation) communication?
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Correct answer (S) This is Maya, a 4-year-old admitted for status asthmaticus. (B) She has a history of moderate persistent asthma, received continuous albuterol in the ED, now on Q4 nebs. (A) Her last vitals were stable, RR 28, O2 sat 96% on 1L NC, lungs clear with minimal wheezing. (R) Continue Q4 albuterol, monitor respiratory status closely, call if increased WOB or sats <92%.
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"The 4-year-old asthmatic needs her albuterol every 4 hours. I assessed her an hour ago and she seemed fine. Let me know if anything changes."
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"Report on Maya, 4 years old. Status asthmaticus. History moderate persistent asthma. Treated in ED. Current RR 28, Sat 96% on 1L. Lungs better. Needs Q4 nebs and monitoring."
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"Maya in room 2 is doing better. Her asthma is acting up but vitals are okay. Just keep an eye on her breathing and give her nebs."
Rationale
The correct answer follows the SBAR format logically, providing concise yet essential information for safe continuation of care. (S) identifies the patient and immediate situation. (B) gives relevant background. (A) presents current assessment findings. (R) clearly states recommendations for ongoing care and parameters for notification. The other options are incomplete, disorganized, lack critical details (like specific treatments, parameters for concern), or use vague language, increasing the risk of communication errors and compromising patient safety.
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