A nurse is caring for a client who is 24 hrs postoperative following abdominal surgery. The nurse suspects the client's pain management is inadequate. Which of the following data reinforce this suspicion? (Select all that apply)
A) The client seems easily agitated
B) The client is non adherent with coughing, deep breathing, and dangling
C) The client may have pain meds every 4 - 6 hrs but accepts it every 6 - 7 hrs.
D) The client reports tenderness in his right lower leg
E) The client's vital signs are: HR 110/min, Resp. : 20/min, Temp, : 37 C (98.6 F), BP 136/80 mm Hg