The nurse fails to obtain scheduled VS at 0200 hours for the client who had cardiac surgery 2 days ago. After assessing the client at 0600 hours, the nurse documents the 0600 HR for both the 0200 and 0600 VS. Which conclusion should a supervising charge nurse make about the nurseÔÇÖs actions? Select all that apply.

B The nurseÔÇÖs action is concerning legally; the nurse fraudulently falsified documentation. C The nurseÔÇÖs action demonstrates beneficence; the nurse decided what was best for the client. D The nurseÔÇÖs action is extremely concerning; it involves the ethical issue of veracity. E The nurseÔÇÖs action demonstrates distributive justice; other clientsÔÇÖ needs were priority. A The nurseÔÇÖs action was acceptable; neither complications nor harmful effects occurred.