The Nurse Is Assessing an Adult Client

The nurse is assessing an adult client. Which observations should the nurse include when documenting the general survey of this client? Select all that apply.

A) Blood pressure 112/68, pulse 68, 98.6°F, and respiratory rate 16.
B) Thin, well-nourished male client appears younger than stated age.
C) Client ambulatory without difficulty.
D) Abdomen flat, nondistended, bowel sounds present, and nontender on palpation.
E) Pain rating of 3 on a 0 to 10 scale.