A nurse is assessing a client who has a long history of smoking and suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

A. An occurrence report, also known as an incident report, documents the details of any unexpected event that occurs during the client's care. This includes falls. It is important to document the incident accurately and promptly in the client's medical record to ensure that all relevant information is recorded. However, this should not take priority over timely escalation of the issue.
B. It is essential to notify the client's healthcare provider (such as the physician or nurse practitioner) about the fall incident. The provider needs to be informed about the client's condition after the fall, any injuries sustained, and any immediate actions taken.
C. The nurse who witnessed or discovered the fall incident is responsible for completing the occurrence report. It should be filled out by the nurse who directly assessed the client's condition after the fall, documented any injuries, and initiated appropriate interventions. Asking another nurse to complete the report may not accurately reflect the details and actions taken by the nurse who was directly involved.
D. Risk management may need to be informed about the fall incident, especially if it resulted in injury to the client. Risk management is responsible for assessing the circumstances surrounding the fall, identifying potential risks or contributing factors, and implementing strategies to prevent future incidents. However, contacting risk management is typically done after initial actions such as ensuring client safety, notifying the provider, and documenting the incident.

A. The water temperature for handwashing should be comfortable and tolerable for the hands. Hot water can be drying to the skin and may not necessarily improve the effectiveness of hand hygiene. Ideally, the water temperature should be warm, but not uncomfortably hot or cold, to encourage thorough handwashing.
B. The amount of soap used for handwashing is important for effective cleaning. Applying 4 to 5 mL (approximately a teaspoon) of liquid soap ensures adequate coverage to create lather and effectively cleanse the hands. Too little soap may not produce enough lather to clean effectively, while too much may be wasteful.
C. During hand hygiene, it's recommended to keep the hands lower than the elbows to prevent water from running from the contaminated area (hands) to the cleaner area (elbows). This helps maintain hygiene and prevents potential contamination of the cleaned hands.
D. After washing hands with soap and water, it's important to dry them thoroughly. However, rubbing hands and arms to dry is not recommended. Instead, hands should be dried using a clean towel or paper towel. Rubbing can cause friction and potential irritation to the skin.