A nurse on a step-down unit is admitting a client. Exhibits Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again Nurses' Notes Day 3, 1350: Client transferred to step-down unit from ICU for continued care following a myocardial infarction (MI) 2 days ago. Oriented to room. Client reports a productive cough, States they are short of breathand that ambulating to the bathroom has resulted in chest pain. Reports pain as 3 on a scale of 0 to 10. Client appears anxious and reports a fear of dying.