please use the following sources in referencing the work.

Ackley, B. J., Ladwig, G. B., & Flynn Makic, M. B. (2016). Nursing diagnosis handbook: An evidence-based guide to planning care. (11th ed.). Maryland Heights, MO: Elsevier.
Jarvis, C. (2015). Physical examination & health assessment.  (7th ed.). St. Louis, MO: Elsevier.
Jarvis, C. (2015). Physical examination & health assessment: a Student laboratory manual. (7th ed.). St. Louis, MO: Elsevier.
Perry, A. G., Potter, P. A., & Ostendorf, W. (2018). Clinical nursing skills & techniques, (9th ed.). St. Louis, MO: Elsevier.
Potter, P. A., Perry, A. G., Stocker, P.A., & Hall, A.M. (2017). Fundamentals of nursing. (9th ed.). St. Louis, MO: Elsevier
Silvestri, L. (2014). Saunders comprehensive review for the NCLEX- RN examination. (7th ed.) St. Louis, MO: Elsevier.