The nurse learns in report that a client is exhibiting Cheyne-Stokes respirations. Based on this data, which action is most appropriate for the nurse to take initially? 1. Listen to the client’s heart...

The nurse learns in report that a client is exhibiting Cheyne-Stokes respirations. Based on this data, which action is most appropriate for the nurse to take initially?

1. Listen to the client’s heart sounds 2. Determine whether the client has a pulse deficit 3. Instruct the client to use an incentive spirometer 4. Determine the client’s ability to follow verbal commands