When Inspecting a Patient's Abdomen, the Nurse Notes an Old

When inspecting a patient's abdomen, the nurse notes an old surgical scar at midline extending vertically below the umbilicus.The nurse will: (Select all that apply.)

A) Not be concerned with it because it is an old scar.
B) Ask the patient about the scar.
C) Not consider it relevant because the patient did not identify it.
D) Include a drawing of the scar's location on the abdomen in the documentation.
E) Measure and record the length of the scar in the documentation.