A nurse is caring for a 75-year-old client admitted with acu…
A nurse is caring for a 75-year-old client admitted with acute decompensated heart failure. The client has a history of hypertension and coronary artery disease. During the morning assessment, the nurse notes the following: The client is restless and anxious Respiratory rate: 32/min, with accessory muscle use O₂ saturation: 86% on 2 L/min via nasal cannula Bilateral crackles in all lung fields BP: 158/94 mmHg, HR: 118 bpm The client reports, “I feel like I can’t breathe lying down.” Which of the following actions should the nurse take first?