NUR3310 EXAM 1 BLUEPRINT
(VERO) questions and answers
_____________is a formal method of communication between two or more members of the
health care team - AnswerSBAR
SBAR stands for - AnswerSituation
Background
Assessment
Recommendation
The nurse is caring for a client who had abdominal surgery yesterday. The client is restless
and anxious and tells the nurse that the pain is getting worse despite the pain medication.
Physical assessment findings include the following: temperature, 100.3°F (37.9°C); pulse
rate, 110 beats/min; respiratory rate, 24 breaths/min; and blood pressure, 140/90 mm Hg.
The abdomen is rigid and tender to the touch. The nurse decides to notify the client's
provider. Place the following report information in the correct order according to the SBAR
(situation, background, assessment, recommendation) format.
1. "He is restless and anxious: temperature is 100.3°F (37.9°C); pulse is 110 beats/min;
respiratory rate is 24 breaths/min; blood pressure is 140/90 mm Hg. Abdomen is rigid and
tender to touch with hypoactive bowel sounds."
2. "He had abdominal surgery yesterday. He is on morphine via patient- controlled analgesia,
but he sa - Answer5, 2, 1, 3, 4
A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and
has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is
part of the SBAR format for communication? - AnswerThis client has allergies to morphine
and codeine
, An older adult client takes medication three times a day and becomes confused about which
medication should be taken at which time. The client refuses to use a pill sorter with slots
for different times, saying Those are for old people. What action by the nurse would be most
helpful? - AnswerPut color-coded stickers on the bottle caps.
A nurse orienting to the postoperative area learns which principles about the postoperative
period? (Select all that apply.) - Answer- Phase I care may last for several days in some
clients.
- Phase II ends when the client is stable and awake
- Vital signs may be taken only once a day in phase III.
How to prevent post-preoperative complications - Answerto prevent postoperative
complications use a spirometer in order to prevent atelectasis, bronchitis,
bronchopneumonia, lobar pneumonia and pleurisy
-Breathing exercises
-Incentive spirometer
-Coughing and splinting
-Compression stockings and/or pneumatic compression devices
-Mobility
Management of Pain - Answertreat the cause
select a safe analgesic
select one that provides effective relief
provide psychological support
nursing actions: position change and back rub
(VERO) questions and answers
_____________is a formal method of communication between two or more members of the
health care team - AnswerSBAR
SBAR stands for - AnswerSituation
Background
Assessment
Recommendation
The nurse is caring for a client who had abdominal surgery yesterday. The client is restless
and anxious and tells the nurse that the pain is getting worse despite the pain medication.
Physical assessment findings include the following: temperature, 100.3°F (37.9°C); pulse
rate, 110 beats/min; respiratory rate, 24 breaths/min; and blood pressure, 140/90 mm Hg.
The abdomen is rigid and tender to the touch. The nurse decides to notify the client's
provider. Place the following report information in the correct order according to the SBAR
(situation, background, assessment, recommendation) format.
1. "He is restless and anxious: temperature is 100.3°F (37.9°C); pulse is 110 beats/min;
respiratory rate is 24 breaths/min; blood pressure is 140/90 mm Hg. Abdomen is rigid and
tender to touch with hypoactive bowel sounds."
2. "He had abdominal surgery yesterday. He is on morphine via patient- controlled analgesia,
but he sa - Answer5, 2, 1, 3, 4
A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and
has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is
part of the SBAR format for communication? - AnswerThis client has allergies to morphine
and codeine
, An older adult client takes medication three times a day and becomes confused about which
medication should be taken at which time. The client refuses to use a pill sorter with slots
for different times, saying Those are for old people. What action by the nurse would be most
helpful? - AnswerPut color-coded stickers on the bottle caps.
A nurse orienting to the postoperative area learns which principles about the postoperative
period? (Select all that apply.) - Answer- Phase I care may last for several days in some
clients.
- Phase II ends when the client is stable and awake
- Vital signs may be taken only once a day in phase III.
How to prevent post-preoperative complications - Answerto prevent postoperative
complications use a spirometer in order to prevent atelectasis, bronchitis,
bronchopneumonia, lobar pneumonia and pleurisy
-Breathing exercises
-Incentive spirometer
-Coughing and splinting
-Compression stockings and/or pneumatic compression devices
-Mobility
Management of Pain - Answertreat the cause
select a safe analgesic
select one that provides effective relief
provide psychological support
nursing actions: position change and back rub
