You notice a new bruise on a confused and non-verbal resident. What is your immediate action?

In a situation where you notice a new bruise on a confused and non-verbal resident, the immediate and appropriate action is to notify the nurse. This step is crucial because the nurse is responsible for the medical oversight of residents and can assess the bruise further. The nurse will have the training and authority to determine if this bruise could be a sign of abuse, a fall, or some other medical issue that requires immediate attention.

Rapid reporting is essential to ensure that any potential medical or safety concerns are addressed without delay. Prompt notification allows the healthcare team to evaluate the resident's condition, document the injury appropriately, and take any necessary interventions to protect the resident's well-being. The nurse may also initiate further investigation or reporting protocols if abuse or neglect is suspected.

Taking actions like calling the husband or waiting until the next day to inquire would not only delay necessary care but could also compromise the safety and health of the resident. Contacting law enforcement prematurely is also not appropriate without first discussing the situation with the healthcare team, particularly since it may not be clear that the bruise resulted from intentional harm at this stage.