The nurse is planning care for a client who was admitted to the acute care unit with a fractured left hip. A family member found the client at the bottom of a flight of steps in the evening. The client states, "I laid there all day and could not get anything to drink since I woke up." The transport team found that the client's leg was out of alignment and that the client was incontinent of urine. The client was oriented, tearful, and speaking in a weak voice. Medications taken earlier that day included: • An antihypertensive medication (dosage was increased yesterday as prescribed by the healthcare provider) A potassium supplement • Aspirin 81 mg orally daily Which assessment information given upon admission directs the nurse to assess for pressure injuries? (Select all that apply)