While Performing an Integumentary Assessment on a 72-Year-Old Male Client,the

Multiple Choice

While performing an integumentary assessment on a 72-year-old male client,the nurse notes the presence of tenting.Which of the following actions is indicated by the nurse first?

A) The nurse will need to notify the healthcare provider.
B) The rate of the intravenous infusion will need to be increased to combat dehydration.
C) A lung assessment will need to be performed.
D) No action is indicated.