Nursing fundamentals · practice question

A 76-year-old client in a long-term care facility is being evaluated for high fall risk on a medical unit. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which communication to the oncoming nurse or provider is most appropriate?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals

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

Answer and explanation

Correct answer

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

Why

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

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A 76-year-old client in a long-term care facility is being evaluated for high fall risk on a medical unit. Assessment data include pressure injury stage 2 noted on the coccyx with unchanged dressing. Which communication to the oncoming nurse or provider is most appropriate?

Correct answer

Why

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