A client diagnosed with heart failure presents with the following assessment data: temperature 99.1F, pulse 100 beats/minute, respirations 42 breaths/minute, BP 110/50 mm Hg; crackles in both lung...

A client diagnosed with heart failure presents with the following assessment data: temperature 99.1F, pulse 100 beats/minute, respirations 42 breaths/minute, BP 110/50 mm Hg; crackles in both lung bases; nausea; pulse oximeter reading of 89%; enlarged, soft abdomen. Which assessment findings needimmediate attention?Why?