護理師正在準備一份關於術後惡化的SBAR通報。在此練習中,「情境 (Situation)」指出當前問題,「背景 (Bac… | MyMerci
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Collaboration with Multidisciplinary Team

護理師正在準備一份關於術後惡化的SBAR通報。在此練習中,「情境 (Situation)」指出當前問題,「背景 (Background)」提供既定的先前脈絡,「評估 (Assessment)」解釋綜合發現,「建議 (Recommendation)」則請求下一步行動。請將每個單一功能的訊息分類一次。每個類別可能包含多個訊息,且沒有固定的總數。

Matrix Multiple Choice

選擇作答後,查看答案。

1. The client in room 412 has developed new confusion and a BP of 86/50 mm Hg during this hour.412房的個案在本小時內出現新的意識混亂,血壓為86/50毫米汞柱。
2. Abdominal surgery was completed yesterday, and the client received the scheduled postoperative anticoagulant this morning.個案昨天完成了腹部手術,並於今天早上接受了預定的術後抗凝劑。
3. The pressure decline together with increasing bloody drain output is more consistent with ongoing blood loss than isolated medication sedation.血壓下降加上引流液血性增加,更符合持續性失血而非單純藥物鎮靜。
4. Please assess the client at the bedside immediately.請立即到床邊評估個案。
5. The immediate concern prompting this call is rapidly worsening circulatory status.促使本次通報的當前問題是循環狀態迅速惡化。
6. Before this change, the client was alert with BP 124/76 mm Hg and only a small amount of serosanguineous drainage.在此變化之前,個案意識清楚,血壓為124/76毫米汞柱,且只有少量血清樣引流液。
7. The combination of confusion and reduced urine output indicates impaired organ perfusion despite the absence of reported pain.意識混亂和尿量減少的組合表明器官灌注受損,儘管沒有報告疼痛。
8. Please provide orders for urgent blood sampling and the resuscitation plan while the bedside review is arranged.請在安排床邊檢視的同時,提供緊急抽血和復甦計畫的醫囑。
解析
情境:訊息1和5。背景:訊息2和6。評估:訊息3和7。建議:訊息4和8。時間關係將先前的基準線與當前問題區分開來。解釋將發現連結成臨床問題,而請求則明確指出接下來需要哪些協助或醫囑。本練習說明其慣例是避免對單獨的生命徵象進行有爭議的分類。
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