At 9:15 AM the Nurse Repeatedly Instructs the Patient to Remain

Multiple Choice

At 9:15 AM the nurse repeatedly instructs the patient to remain in bed.At 9:30 the nurse enters the patient's room,finds the patient on the floor,and hears the patient say,"I need pain medicine." Which should the nurse do to document this event?

A) Label the late entry using the time of 9:15 AM
B) Enclose the patient statement within quotations
C) Document completion of an incident report
D) Record medication before its administration