The nurse observes a client who is entering the health facility. One of the first indications by the nurse that the client may be experiencing a problem is:
1. The client's facial features and body posture.
2. How fast the client enters the facility.
3. The client's clothing.
4. The client's speech.
The client's facial features and body posture.
Rationale: One of the first observations the nurse is able to make is of the client's facial features and the body posture. How fast the client enters the facility may be helpful, but only if the nurse can determine that there is urgency by the client's appearance. A slow gait does not necessarily indicate a problem. The client's clothing may be neat and clean or disheveled and dirty, but that will not give clues of a client problem. The client's speech may indicate problems, but will not be the first observation.
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