The Nurse Is Preparing to Conduct an Hourly Assessment of a Client

Multiple Choice

The nurse is preparing to conduct an hourly assessment of a client who was placed in skin traction approximately 6 hours ago and has been stable since that time.The plan is to check the client's vital signs,pain level and complete what other assessments? Select all that apply.

A) Neurovascular assessment of the unaffected leg.
B) Skin integrity of both heels.
C) Massage the skin of the buttocks with a dry washcloth.
D) Ensure traction weight is correctly placed.
E) Ensure client's shoulders and hips are in alignment.