A client is brought to the emergency department by emergency medical responders. Click to highlight the client cue that is most concerning to the nurse. Select one option. Nursing Notes 1230 Client transferred to intensive care unit following surgery and postoperative recovery. Client on hydromorphone PCA with continuous rate and bolus dosing. TBSA burned estimated at 22-25%. Fluid resuscitation continued. Client on oxygen 4L/NC with unlabored respirations. Client reports "scratchy and sore throat. Pain to burn areas rated 3/10. Mild inspiratory wheeze on auscultation to lungs Indwelling foley catheter remains in place and emptied prior to transfer. Dressings clean, dry. and intact. 1630 Client resting in bed. Fluid resuscitation continues. Pain management via PCA. Client reports pain 4/10. Client remains on oxygen 2L/NC with unlabored respirations. Indwelling urinary catheter reservoir emptied for total of 80 mL dark amber urine. Dressings clean, dry, and intact.