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A nurse enters a client's room and finds the client lying on the floor. The client states they are not injured. Which of the following actions should the nurse take when reporting this occurrence?

A. Record their own impressions about what caused the event.
B. Document the completion of an incident report in the client's medical record.
C. Document that the client sustained no injuries.
D. Include the names of any witnesses who might have observed the fall on the incident report.



Answer :

GinnyAnswer

Final answer:

The nurse should document the completion of an incident report in the client's medical record and include factual details from firsthand witnesses.


Explanation:

When reporting the occurrence of a client falling, the nurse should document the completion of an incident report in the client's medical record as a key action. The incident report should include facts and observations from firsthand witnesses, distinguishing between personal observations and those reported by others. It is important to be clear, concise, and honest in the report, avoiding speculation and including relevant details such as witness names.


Learn more about Incident reporting here:

https://brainly.com/question/39408945


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