At 9:15 AM the Nurse Repeatedly Instructs the Patient to Remain

question 5

Multiple Choice

At 9:15 AM the nurse repeatedly instructs the patient to remain in bed.At 9:30 the nurse enters the patient's room,finds the patient on the floor,and hears the patient say,"I need pain medicine." Which should the nurse do to document this event?

• A) Label the late entry using the time of 9:15 AM
• B) Enclose the patient statement within quotations
• C) Document completion of an incident report
• D) Record medication before its administration

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