A nurse in the emergency department is assisting in the care of a client. Click to highlight the findings that require immediate follow-up. To deselect a finding click on the finding again. Nurses Notes 1630: Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields, Diffuse, raised rash present on trunk. Abdomen soft, nontender Vital Signs 1630: Temperature 38.3°C (101°F) Heart rate 110/min Respiratory rate 30/min Blood pressure 90/55 mmHg Oxygen saturation 91% on room air