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Which Entry Will Require Follow-Up by the Nurse Manager

Question 21

Multiple Choice

Which entry will require follow-up by the nurse manager?


A) 0800: Patient states,"Fell out of bed." Patient found lying by bed on the floor.Legs equal in length bilaterally with no distortion,pedal pulses strong,leg strength equal and strong,no bruising or bleeding.Neuro checks within normal limits.States,"Did not pass out." Assisted back to bed.Call bell within reach.Bed monitor on.
-------------------Jane More,RN
B) 0810: Notified primary care provider of patient's status.New orders received.
-------------------Jane More,RN
C) 0815: Portable x-ray of L hip taken in room.Patient states,"I feel fine."
-------------------Jane More,RN
D) 0830: Incident report completed and placed on chart.
-------------------Jane More,RN

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