The nurse responds to a client's call light.When entering the room,the nurse sees that the client is lying on the floor,with the bed linens around his legs.Which of the following would be the most correctly written chart entry?
A)Recorder found client on floor; seems to have fallen out of bed by getting tangled in bed linens
B)Client became tangled in the bed linens,then called for assistance after falling out of bed
C)Recorder responded to client's call light; upon entering the room,found client on floor
D)Client fell out of bed,but did push the call button for assistance

Question

Quizplus · Accepted Answer

Option C is the most objective and accurate chart entry as it simply states the facts observed by the recorder. Option A and B include subjective assumptions about how the client fell, while option D suggests the client pushed the call button for assistance, which contradicts the scenario described in the question.

The Nurse Responds to a Client's Call Light