[Answered]: Client’s skin is warm and dry

Client’s skin is warm and dry. Mucous membranes are moist and pink. Awake, alert, and oriented to person, place, and time. Heart sounds regular. Lung sounds clear. Respirations – regular and unlabored. Bowel sounds hypoactive all four quadrants. 3+ non-pitting edema noted to lower extremities bilaterally. Gait unsteady. Generalized weakness reported. Reports abdominal pain, primarily in the right lower quadrant, as 5 on a scale of 0 to 10.