The Registered Nurse (RN) Is Discussing Care of Shared Clients

The registered nurse (RN) is discussing care of shared clients with the licensed practical nurse.  Which of the following clients require intervention by the RN?  Select all that apply.

A) A client receiving a blood transfusion who reports severe anxiety and has blood pressure 90/60 mm Hg and pulse 110/min
B) A client receiving oral metoprolol whose heart rate has decreased to 60/min after administration
C) A client whose blood pressure decreased from 130/80 mm Hg to 110/70 mm Hg following administration of 1 mg hydromorphone IV
D) A client whose blood pressure was 90/65 mm Hg before prescribed oral nifedipine was administered
E) A client whose pulse increased from 70/min to 100/min after albuterol administration