The practical nurse (PN) is assisting the nurse (RN) during the admission of a client with a possible cerebrovascular accident (CVA). Which action(s) should the PN complete in the assessment phase of the admitting process? Select all that apply.

A. Record automatic blood pressure readings: Measuring and recording vital signs is part of the assessment phase. B. Develop the initial plan of care: This is part of the planning phase, not assessment. C. Initiate range of motion exercises: This is part of implementation, not assessment. D. Gather information about the client's symptoms: Collecting subjective data is part of assessment. E. Observe for muscle weakness and fatigue: Gathering objective data by observation is part of assessment.