Communication And Handoff (SBAR) Practice Test

A nurse in an acute care setting notes a critical change in condition in a 74-year-old client with chronic obstructive pulmonary disease and heart failure admitted for pneumonia; the client is suddenly more confused with respiratory rate 30/min, oxygen saturation 86% on 4 L nasal cannula, heart rate 124/min, blood pressure 148/84 mm Hg, and audible wheezing. What is the MOST important recommendation for the nurse to communicate using SBAR when calling the healthcare provider?

A nurse calls the healthcare provider about a 65-year-old client with Parkinson disease who is hospitalized for dehydration; current assessment shows new coughing during meals, drooling, respiratory rate 22/min, oxygen saturation 92% on room air, and coarse breath sounds after lunch. What is the MOST important recommendation for the nurse to communicate using SBAR?