A nurse is performing general inspection and measuring vital signs on a client during a routine physical exam. Which of the following actions should the nurse take to ensure an accurate assessment? (Select all that apply)

Use an appropriately sized cuff.

Ensure the client has been seated and rested for at least 5 minutes before measuring blood pressure.

Count respirations for 30 seconds and multiply by 2, even if the pattern is irregular.

Document the client's appearance, posture, and breathing pattern during general inspection.

Position the client's arm above heart level while measuring blood pressure.

Remove clothing that interferes with cuff placement prior to taking the blood pressure.