Patient Data The emergency department nurse conducted an initial assessment. Click to highlight the findings from the nurse's assessment that warrant follow-up. 0125 Client is alert and oriented to person, place, time, and situation. Client states, "It's been hard to catch my breath." Crackles are heard in the bases of bilateral lungs. S1 and S2 heart sounds noted. Heart rate is 118 beats/minute with a regular rhythm. Bilateral peripheral pitting edema of 2+ is present in both legs. Client denies pain. Reports voiding prior to coming to hospital.