31. The nurse is caring for a 2-day post-op client. The clie…

31. The nurse is caring for a 2-day post-op client. The client is complaining of dyspnea and a slight cough. The vital signs are temp 99.0, B/P 128/88, HR 102, Resp rate 28, Pulse ox 88% on room air; the nurse notes the client’s breaths are shallow. What nursing intervention will the nurse perform first?