The nurse is assigned to a client with heart failure. The nurse’s morning lung assessment indicates crackles and wheezes in the mid to lower lung bases, R 32, and the client is restless. Which nursing...

The nurse is assigned to a client with heart failure. The nurse’s morning lung assessment indicates crackles and wheezes in the mid to lower lung bases, R 32, and the client is restless. Which nursing intervention is of priority initially?

a. Assess capillary refill

b. Take the pulse oximetry

c. Limit client activity

d. Assess fluid intake

Rationale: