The Nurse Assesses the Hospitalized Client and Prepares to Document

The nurse assesses the hospitalized client and prepares to document the findings using APIE in the medical record. Rank the following findings in the proper order of documentation.
A) The client states upon admission, "I don't know what's wrong with me, but I can't see out of my left eye and I can't stand up by myself."
B) The client is unable to move from the bed to the chair without the assistance of two nurses. The client is unable to eat without assistance.
C) The healthcare provider writes an order for the nurse to administer heparin.
D) On the morning of the client's discharge from the hospital, the client has been able to ambulate 50 feet with a walker.