A nurse preceptor is observing a newly licensed nurse caring for a client on a medical-surgical unit. Which of the following actions by the newly licensed nurse requires further instruction by the preceptor?

The nurse places the client in a semi-Fowler’s position for a postoperative assessment.

The nurse auscultates the client’s lungs without lifting the gown.

The nurse administers an enema without checking the client’s chart for contraindications.

The nurse checks the client’s vital signs before administering a cardiac medication.