AIIMS Nursing Officer Group B 2018 Paper

A surgical patient in his unit had a fall from his bed on the 2nd post-operative day and accidentally the feeding tube dislodged from the nose; on assessment, the patient was looking irritable and reported pain in the area of surgical incision. The aforementioned issue was to be documented as an unusual event as it occurred at the health care facility. Being a nurse, which of the following report do you consider in reporting?