A 90-year-old client arrives at the emergency department complaining of a fever, chills, and sharp chest pain with
inspiration. Respirations are 26/minute, and pulse oximetry is 92%. Which of the following should the nurse do
initially?
A. Begin an infusion of intravenous saline
B. Give IV furosemide
C. Begin oxygen with nonrebreather face mask at 100%
D. Auscultate lung sounds
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