A nurse in an emergency department is caring for a client. Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again. Nurses Notes 0600: Client presents to the emergency department with reports of increasing shortness of breath, anxiety, inability to breathe when lying down, and Increasing edema in the lower extremities. Client states, "I tried to put my shoes on this morning, but my feet are so swollen, I cannot get them on. My spouse made me come and get checked out." Client has productive cough with pink-tinged secretions. Clear breath sounds auscultated. 1+ edema in lower extremities. Denies chest pain. Height 27.2 cm (69 in), weight 95.5 kg (210.5 lb), BMI 31. Reports smoking 1 pack of cigarettes per day for about 30 years. Client reports history of borderline diabetes and hypertension and states, "I don't take any medicine for diabetes. I was just told to watch what I eat. They gave me medicine for my blood pressure, but I rarely take it because it makes me feel bad." Cardiac monitor shows sinus tachycardia. Vital Signs 0605: Temperature 37.3° C (99.1° F) Heart rate 122/min Respiratory rate 22/min Blood pressure 84/58 mm Hg Oxygen saturation 91% on room air