The nurse is providing care for four clients. Which best provides an example of the clinical judgment term failure to rescue (FTR)?

The client with a respiratory problem expresses interest in smoking cessation, but the nurse waits to put in a consult until the next day.

The client with pneumonia develops a fever of 101.9°F (38.8 °C), and the nurse does not notify the health care provider.

The client with chest pain develops pain while ambulating in the hall; the nurse immediately has the client sit down, checks HR and blood pressure, then notifies the provider.

The client with an altered level of consciousness experiences a fall while trying to go to the bathroom alone. The nurse first assesses the patient, then reports the Incident.