Initial Nursing Assessment The nurse reviews the information received in

Initial Nursing Assessment The nurse reviews the information received in the report and enters the client’s room to perform a physical assessment. Upon assessment, the client is alert and oriented to person, place, time, and event. Pupils are equal, round, reactive to light, and accommodation. IV to left forearm is infusing D5 1/2 normal saline at 125 mL/hr. Lung sounds equal and clear bilaterally. Client reports incisional abdominal pain in the lower right quadrant rated as a 4 on a 0 to 10 pain scale. S152 heart tones noted. All pulses palpable. The abdomen is soft and tender upon palpation. The bowel sounds hypoactive in all four quadrants. Client is lying in semi-Fowler’s position. Family at bedside. Call light within reach. Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Physiological: Pain Physiological: Mobility Physiological: Infection Physiological: Elimination Physiological: Fluid and Electrolyte Physiological: Tissue Integrity Health Promotion: Client Education Physiological: Comfort

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