The practical nurse (PN) finds a client who is assigned to another nurse bleeding from an IV site and the IV tubing and fluid are on the floor. The PN immediately applies a dressing to stop the bleeding. Which action should the PN take next?

A. Tell the nurse assigned to the client about the event so the findings can be recorded: The PN must first verbally report to the responsible nurse to ensure continuity of care and proper documentation. B. Enter computer documentation of the findings and the application of a dressing: Documentation is essential but comes after notifying the primary nurse in charge of the client. C. Inform the charge nurse that the findings indicate that the client pulled out the IV: Assumptions should be avoided unless confirmed; the PN should report only observed facts. D. Complete the shift documentation for this client and include the findings about the IV: This delays immediate communication to the responsible nurse and could jeopardize timely care.