The nurse is conducting a general survey of a client during a physical examination. Which should the nurse identify as being a possible alteration of this client's status?
1. Easy respirations
2. The client is frowning
3. The client stands straight
4. The client's temperature is normal
Answer: 2
1. Easy respirations indicate a normal respiratory assessment.
2. Frowning could be an indication of anger, fear, or pain and the nurse should explore this to ensure the client's cooperation and comfort.
3. Good posture is a positive sign.
4. A normal temperature is desired.
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