The post anesthesia care unit (PACU) nurse uses the SBAR format in reporting to the surgical unit nurse regarding an older client who had a right total hip replacement for avascular necrosis. Vital signs are reported, which are all stable and within normal limits. The nurse also reports that the client was medicated for pain with morphine 2 mg IV and ondansetron 4 mg IV 45 minutes ago, which reduced the pain level to 4 on a 0 to 10 scale, but the client is still nauseated. Which additional information is critical for the PACU nurse to include in the SBAR format report? Select all that apply.

Rationale: A. The client should be monitored closely for persistent nausea or vomiting: While relevant, this is a nursing action and not critical SBAR content unless complications arise. It's not essential in a handoff unless persistent or severe. B. A large number of family members are in the surgical waiting area: This is not directly relevant to the client’s clinical condition or care priorities, and does not belong in an SBAR handoff unless family poses an immediate concern. C. A patient controlled analgesic (PCA) pump is prescribed and needs to be started as soon as possible: This is critical treatment information for continuity of pain management and should be communicated clearly during the SBAR handoff. D. Surgical dressing is clean, dry, and intact and neurovascular status is within normal limits: Postoperative wound and neurovascular assessment findings are essential for monitoring surgical outcomes and early complications. E. Client history includes heart failure and aphasia from a previous stroke: Medical history directly influences postoperative care decisions and risk for complications; it must be included in the background section of SBAR.