135k views
4 votes
The nurse responds to the bed alarm of a client with a severe urinary tract infection and finds the client lying on the floor and soiled with urine. Which of the following entries by the nurse are appropriate to include when documenting the event in the client's electronic medical record? Select all that apply.

User Fennie
by
7.7k points

1 Answer

4 votes

Final answer:

When documenting the fall of a client with a UTI in the medical record, it is important to include the time, client's condition, interventions, notifications, and contributing factors such as recent surgery or catheterization, in a clear and factual manner.

Step-by-step explanation:

When documenting a clinical event, such as a client falling out of bed, it is crucial to include objective, clear, and concise entries. First and foremost, the time and date of the incident should be noted. Following this, a description of the client's location and condition upon finding them is necessary. Any interventions or immediate care provided, along with the client's response to these actions, should be recorded.

Additionally, it is essential to document who was notified about the incident (e.g., the client's physician) and any subsequent orders or changes to the care plan. Furthermore, any potential contributing factors, such as a urinary tract infection (UTI), which may have played a role in the client's fall, should be mentioned. The client's recent surgery could have increased their risk for a hospital-acquired UTI if, for instance, they were catheterized, which is a common source of introduction for bacteria into the urinary system.

User Ricardo Fontana
by
7.6k points