At 1930 the nurse notes that the client has rapid, more labored respirations with frequent coughing that is producing thick tenacious secretions. The client is alert and oriented and able to speak, between coughing episodes. She states that the last time she had this much coughing, the respiratory therapist (RT) gave her a nebulizer treatment, which "helped a lot."

What nursing actions would the nurse implement at this time in coordination with the registered nurse (RN)? Select all that apply.

A.    While encouraging fluid intake is generally beneficial, this action alone may not adequately address the client's respiratory distress.
B.    Obtaining the client's vital signs and noting changes from previous readings is essential for assessing the client's condition and response to interventions.
C.    Administering antitussive medication may not be appropriate as the client is able to expectorate secretions, and suppressing the cough may hinder clearance of secretions.
D.    Positioning the client in a high-Fowler position helps improve lung expansion, aiding in respiratory effort.
E.    Increasing the supplemental oxygen flow can help alleviate respiratory distress by improving oxygenation.
F.    Calling the respiratory therapist for a nebulizer treatment is appropriate, especially since the client reported previous relief with this intervention.
G.    Increasing IV fluids may not directly address the client's respiratory distress and should be based on fluid status and other clinical indications.
H.    Documenting findings and actions taken ensures proper communication and continuity of care.
I.    Contacting the Rapid Response Team may not be necessary as the client is alert and oriented and not in immediate distress.
J.    Listening to the client's breath sounds allows the nurse to compare with previous findings and evaluate respiratory status.