A nurse is assisting in the care of an older adult client who was admitted from a long-term care facility. Nurses' Notes 1500: The client is restless and is not following commands. The client does not tolerate lying flat. Skin warm and dry. Regular heart sounds without murmur. Respirations labored. Breath sounds with right-sided crackles and wheezes in the posterior lower lobe. Abdomen soft, nondistended with positive bowel sounds in all four quadrants. Select the 3 findings that require immediate follow-up. Tremors in hands.

Since the client's respiratory rate is labored and there are abnormal breath sounds (crackles and wheezes), it is important to assess their oxygen saturation level. This finding can help determine the adequacy of their oxygenation and whether intervention is needed. The client's labored respirations, along with the presence of abnormal breath sounds, indicate potential respiratory distress. Assessing their respiratory rate is crucial to determine the severity of the respiratory compromise and the need for immediate intervention. The nurse's note mentions that the client is restless and not following commands. This change in the level of consciousness may indicate a decline in neurological status and should be promptly evaluated. The other options listed (tremors in hands, heart rate, and chronic health condition) may also require follow-up, but they are not the most immediate concerns in this situation.