The Nurse Cares for a Group of Clients at Risk

The nurse cares for a group of clients at risk for lower respiratory infection. The nurse is most concerned about which clients? Select all that apply.

A) The client who reports feeling cold and having chills.
B) The client with a respiratory rate of 30 breaths/min.
C) The client with a heart rate of 120 beats/min.
D) The client with new onset confusion and incontinence.
E) The client with nighttime cough and nasal discharge.