A Nurse Has Entered the Room of a Patient with Cirrhosis

Multiple Choice

A nurse has entered the room of a patient with cirrhosis and found the patient on the floor. The patient states that she fell when transferring to the commode. The patients vital signs are within reference ranges
And the nurse observes no apparent injuries. What is the nurses most appropriate action?

A) Remove the patients commode and supply a bedpan.
B) Complete an incident report and submit it to the unit supervisor.
C) Have the patient assessed by the physician due to the risk of internal bleeding.
D) Perform a focused abdominal assessment in order to rule out injury.