On Assessment,the Nurse Notes That a Client Has Burns Inside

On assessment,the nurse notes that a client has burns inside the mouth and is wheezing.Several hours later,the wheezing is no longer heard.What is the nurse's next action?

A) Document the findings and reassess in 1 hour.
B) Loosen any constrictive dressings on the chest.
C) Raise the head of the bed to a semi-Fowler's position.
D) Gather appropriate equipment and prepare for intubation.