Difficulty: Medium
Average Score: 95%
Simulated
A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident about a pressure ulcer, the nurse should take which of the following actions?
Correct answer
C
Rationale
Including relevant client statements provides factual information about the client's condition and perception, aiding in identifying contributing factors and preventing complications. Questioning the charge nurse (A) or documenting personal beliefs (B) introduces opinions, which should be avoided in incident reports to prevent legal issues. Documenting the incident report in the medical record (D) is inappropriate, as incident reports are internal documents.