A client who has a burn injury to an estimated 5% his leg and is crying

A client's blood pressure changes from 112/60 mm Hg to 90/54 mm Hg when standing

A client who has an ankle fracture reports a pain level increase from 3 to 5 after initial ambulation

A who is client 1 day postoperative and has a temperature of 37.5° C (99.5° F)