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February 4, 2023

A nurse is caring for a client who has fallen out of their hospital bed. Nurses’ Notes Vital Signs Nurses’ Notes 1030: Client admitted to the medical-surgical unit yesterday for syncope. Client

A nurse is caring for a client who has fallen out of their hospital bed. Nurses’ Notes Vital Signs Nurses’ Notes 1030: Client admitted to the medical-surgical unit yesterday for syncope. Client fell out of bed while trying to get up without assistance. Client is confused to person and place. Requires frequent reorientation. Call light is within reach; however, frequent reminders to use the call light is required. Client’s room is close to nurses’ station for close monitoring. Client has bruising on left knee. Skin is intact. Vitals signs obtained. Bed alarm applied to bed and raised x2 siderails

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