A nurse is cаring fоr а client whо hаs right sided paralysis fоllowing a stroke. Select the information in the client's medical record that requires intervention by the nurse (Select all that apply). Nurses' Notes Day 1: Client is alert and oriented. Client is repositioned every 2 hr. Passive range of motion exercises to affected extremities performed once each day. Day 5: Client is alert and oriented. Client is repositioned every 2 hr. Passive range of motion exercises to affected extremities performed once each day. Feet warm, pedal pulses 2 + bilaterally. Joint contracture noted to right wrist. Right heal with 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable redness, skin intact.