[Expert Solution]: A nurse is caring for a client who has…

A nurse is caring for a client who has terminal lung cancer and has a do not resuscitate (DNR) prescription. Which of the following actions should the nurse perform for this client? Nurses’ Notes 1455: Client drowsy, disoriented to place and time. Respirations 22/min. Oxygen saturation 94%. Lung sounds with rales noted in bilateral bases. Productive cough noted with yellow sputum. Capillary refill <3 seconds. 1500: Head of bed elevated. Positioned for comfort. Turned to left side. Family at bedside. Mouth care provided. 1545: Client unresponsive to verbal or tactile stimuli. Respirations labored, rate 35/min. Breath sounds with rales bilaterally. Oxygen saturation 79%. Fingers cyanotic. Accessory muscle use noted. Capillary refill 5 seconds. Bowel sounds active all quadrants. Which of the following actions should the nurse perform for this client? Select all that apply. Initiate oxygen at 4L/min per nasal cannula. Perform the Respiratory Distress Observational Scale. Administer morphine (Duramorph) 4mg sublingual. Administer venlafaxine (Effexor XR) 75 mg po daily. Elevate head of bed 20 degrees. Offer small frequent meals.