While admitting a client with pneumonia, the nurse notes multiple bruises in various stages of healing. The client has Alzheimer’s disease and a history of multiple fractures. Legally, the most important action for the nurse to take is to
A. document findings thoroughly.
B. question the client about the bruising.
C. inform appropriate local authorities.
D. tell the client’s physician.
参考答案：C
解析：This client may be experiencing elder abuse based on her history and symptoms. Authorities to be notified may include local social service or law enforcement agencies. The nurse should also document findings and include illustrations to support the assessment. The client with Alzheimer’s disease may not be able to accurately inform the nurse about what happened. Reporting findings to the physician may not be sufficient for fulfilling the nurse’s legal responsibility.