A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?

A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client.

A nurse discovers that a client's family member has administered a PCA dose.

A nurse observes another nurse remove wrist restraints one at a time from a client who is currently calm.

A nurse observes a client vomiting after receiving an oral pain medication.