Difficulty: Medium
Average Score: 77%
Simulated
Passage / Scenario
A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a traumatic brain injury. Which of the following information should the nurse include in the background segment of SBAR?Glasgow results
Correct answer
B
Rationale
The correct answer is B: Code status. Glasgow Coma Scale assesses a patient's level of consciousness, not intracranial pressure (A). It also doesn't dictate plan of care changes for upcoming shift (C). The other choices are not applicable. Code status is vital in determining appropriate interventions based on a patient's wishes in emergency situations.