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    Hesi lpn exit proctored examQuestion 185
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    Hesi lpn exit proctored exam

    The practical nurse (PN) notifies the healthcare provider about client information using the Situation. Background, Assessment, Recommendation (SBAR) technique. Which information should the PN provide first?

    Explanation & Rationale

    A. A 26-year-old client: Identifying the client is important but is not the most urgent information when using SBAR. It provides context but comes after the immediate concern. B. Intravenous fluids infusing at 75 mL/hour: While IV fluids are relevant background information, they do not indicate the acute problem that requires immediate attention. C. Blood pressure is 80/48 mmHg: In the SBAR framework, the “Situation” should include the most urgent and critical information. Hypotension is a potentially life-threatening finding that must be communicated first to prompt timely intervention. D. Cholecystectomy 24 hours ago: Surgical history is part of the background information and provides context for the current situation, but it is secondary to the acute vital sign abnormality.

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