Which documentation examples provide legal malpractice protection for a nurse after an adverse event?

The documentation that states "Heparin infusion running at 15 units/kg/hr. Labs drawn at 7:20 AM." provides legal malpractice protection for a nurse after an adverse event because it includes specific and measurable details about the treatment being administered. This level of detail demonstrates that there was adherence to protocols and that the nurse was actively involved in monitoring the patient's condition through the documentation of the medication administration and relevant lab work.

In legal situations, thorough documentation can serve as evidence that the nurse acted appropriately and according to established standards of care. By including the specific dosage of the heparin infusion and noting when the labs were drawn, it shows that the nurse was following the physician's orders and was tracking the necessary metrics to ensure patient safety and respond to any potential complications.

The other choices lack the same level of detail and the proactive approach seen in the correct answer. For instance, the first option provides minimal information about a client finding on the floor, which does not indicate ongoing assessments or interventions. The second option indicates a patient's report, but it lacks details on any follow-up actions taken by the nurse. The fourth option states a condition (red and swollen IV site) and an intervention (IV removed and warm compress applied), but it does not