The nurse would typically report any significant or unexpected clinical findings, such as an abnormal vital sign, an unexpected change in the client's condition, or a new symptom or complaint. The nurse would also report any concerns about the client's ability to perform activities of daily living, such as ambulation or toileting, or any difficulty with pain control. The nurse would also notify the registered nurse if the client has a fever that is not responding to medication, or if the client is experiencing an allergic reaction to medication. The nurse would also report any significant events, such as an accident, a medication error or a fall.
It's important to note that nurses are legally required to report any significant or unexpected clinical findings to the registered nurse in charge of the client's care to ensure the best possible outcomes for the client. If the nurse is unsure, it's always best to consult with a licensed or registered nurse to determine the best course of action for the patient's care.
