NCLEX: A bedside nurse using barcode medication administration is being evaluated for technology-supported nursing care…

Informatics and healthcare technology Management of Care

Case Study

A bedside nurse using barcode medication administration is being evaluated for technology-supported nursing care and smart pumps. Assessment data include the electronic health record shows two clients with similar names on the same unit. Which communication to the oncoming nurse or provider is most appropriate?

Question

A. "The client is doing fine; no issues to report."
B. Vague statements without measurable assessment data.
C. SBAR format with specific objective findings, current status, and a clear recommendation.
D. Blaming the client for nonadherence instead of stating facts.

Rationale

Correct answer: C. SBAR format with specific objective findings, current status, and a clear recommendation.

Rationale: Handoff and escalation require concise, objective communication such as SBAR with current assessment data.

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Advanced

Difficulty: Hard

Subtopic: Smart pumps