A client with a history of COPD presents to the emergency department with progressive shortness of breath and wheezing. The health care provider orders medications. The nurse assesses the client and documents in the nurses' note: The nurse then reviews the medication administration record. Nurses' Notes 1910: Client reports worsening shortness of breath for the last 2 weeks, with even greater worsening over the past 3 days. Took home nebulinor treatinents "just priar to coming" to the emergency department. Use of neck muscles to facilitate breathing. Lung sounds diminished to bases bilaterally with occasional scattered rhenchi. 5 po2 85 sis on room air. Tachycardic with regular rhythm, applied. Reviewed MAR, Labs drawn and awaiting results. 2000: Client has noticeable tachypnea with accessory muscle usage. Pursed lip breathing. Audible crackles in the bilateral bsses with wheezing in the remxing king fields. Still waiting on lab results.

Which assessment findings requires immediate intervention with albuterol nebulization select all that apply shortness of breath wheezing SPO2 85% to Kia heart rate one 10 bpm number two provide a rationale to explain your answer choices