A nurse is assisting in the care of an older adult client who was admitted from a long-term care facility. Nurses' Notes 1500: The client is restless and is not following commands. The client does not tolerate lying flat. Skin warm and dry. Regular heart sounds without murmur. Respirations labored. Breath sounds with right-sided crackles and wheezes in the posterior lower lobe. Abdomen soft, nondistended with positive bowel sounds in all four quadrants. Select the 3 findings that require immediate follow-up. Tremors in hands.