the nurse is caring for a client who is 30 years of age with a fracture of the right femur and left tibia. both legs have casts. the nurse assesses the following: respirations are 30 per minute and are rapid and shallow; there is presence of faint expiratory wheeze; and coughing produces thin pink sputum. the client is yelling at the nurse and wants to be released from the hospital; this is behavior unlike that previously reported. the last pain medication was administered 3 hours ago. what should the nurse do first?
