The Nurse Assesses an Older Client Reporting Mouth Pain

The nurse assesses an older client reporting mouth pain. What additional actions should the nurse take at this time? Select all that apply.

A) Review vital sign trends.
B) Auscultate all lung fields.
C) Palpate the face for tenderness.
D) Assess the client's oral mucosa.
E) Feel for enlarged lymph nodes around the jawline.