An older male client reports to the nurse that his feet are cold. Before covering the client’s feet, which assessment(s) should the nurse complete? Select all that apply.

Choice A rationale Measuring skin elasticity around the ankles is not directly related to assessing the cause of cold feet. It is more relevant for assessing hydration status and skin turgor. Choice B rationale Assessing the volume of the pedal pulses is crucial to determine if there is adequate blood flow to the feet. Choice C rationale Palpating the dorsal surface of the feet for warmth helps assess the temperature and circulation to the feet. Choice D rationale Testing for a positive Babinski reflex is not relevant to assessing cold feet. It is used to assess neurological function. Choice E rationale Observing the color of the feet and toes helps assess circulation and potential issues such as cyanosis or pallor.