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- Provide a safe environment
- Clean the client up
- Report incident to the state
- Discharge the client home after a negative X-ray
- Assume the patient has poor hygiene and is clumsy
It is likely this client is being abused by their caregiver and the situation should be investigated, it is recommended that the nurse clean the patient and make sure the patient is safe first, then fill out the appropriate forms to report to the abuse to the state, and question family/caregivers as well as the patient as to the situation at home.
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