A nurse is administering a liquid medication to a client who has an NG tube set to intermittent suction. Identify the sequence of steps the nurse should take when administering the medication. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) (ORDERED RESPONSE)

A. An assistive personnel raises all four side rails of a client's bed before leaving the room: Raising all four side rails can be considered a form of restraint and poses a safety risk, especially if the client attempts to climb over them. It can increase the risk of falls and injury, particularly in confused or restless clients.

B. An assistive personnel places a weight-sensitive sensor mat on the mattress beneath a client's buttocks: This is not a safety hazard; it's a fall prevention measure. These sensor mats are designed to alert staff when a client attempts to get up, helping prevent falls in at-risk individuals.

C. A client who has bilateral wrist restraints has a capillary refill of less than 2 seconds:
A capillary refill of less than 2 seconds is within normal limits and indicates that circulation to the hands is intact. This suggests that the restraints are not too tight and do not currently pose a circulatory risk to the client.

D. A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing sensation at the application site: A mild buzzing or tingling sensation is an expected and normal effect of a TENS unit. It does not indicate a malfunction or a safety issue unless it becomes painful or the skin shows signs of irritation or burns.

A. Brittle hair: Malnutrition often leads to protein and micronutrient deficiencies, which impair hair growth and texture, resulting in dry, brittle, or thinning hair. This is a common visible sign in clients with poor nutritional status.

B. Yellow conjunctivae: Yellowing of the conjunctivae typically indicates jaundice due to liver dysfunction or hemolysis, not malnutrition from inflammatory bowel disease. It reflects bilirubin accumulation rather than nutrient deficiency.

C. Bradycardia: While bradycardia may occur in severe starvation or electrolyte imbalance, it is not a consistent or early indicator of malnutrition from inflammatory bowel disease. It requires further context to be clinically relevant.

D. Clubbing of the fingernails: Clubbing is associated with chronic hypoxia or pulmonary/cardiac conditions. It is not commonly linked to malnutrition or inflammatory bowel disease unless there are severe complications such as chronic anemia or hypoxia.