A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?

A. Report the findings to a supervisor: Nurses are mandated reporters. If abuse is suspected-especially when physical evidence (bruises in various stages of healing) contradicts the client's story-the priority is to activate the chain of command or legal reporting mechanisms to ensure the client's safety. Reporting to a supervisor (or directly to Adult Protective Services, depending on facility policy) is the actionable step to intervene. B. Discuss respite care with the client's family: While caregiver strain is a common cause of abuse, and respite care is a valid long-term intervention, it does not address the immediate safety of the client or the legal requirement to report suspected abuse. C. Document the bruises in the client's chart: Documentation is essential for evidence, but it is not the first priority. Ensuring safety and following legal reporting mandates takes precedence over charting. You report, then document the findings and the fact that you reported. D. Provide the client with a crisis hotline number: This places the burden of seeking help on the victim, who may be cognitively impaired (as implied by "older adult" checks) or too fearful to use it. The nurse must take a more active role in protecting the client.