What considerations should the nurse take when completing a physical exam on an elderly female client?

A) Have her spouse present during the examination
B) Speak slower and louder than usual
C) Allow extra time for the client to answer questions
D) Do not require her to remove her clothes

Elderly clients may have difficulty hearing or processing information, so it is important to allow extra time for them to answer questions. It may also be necessary to speak more clearly or assist with vision or hearing aids. While having a spouse present may be comforting for the client, it is not a necessity. It is important to respect the client's privacy and dignity, so only necessary clothing should be removed for the exam. Speaking louder than usual may come across as condescending or insulting to the client.