The nurse is caring for a client with congestive heart failure. Using the ISBAR format, Select the text that expresses the nurses' recommendation to the physician.

D Lung sounds had crackles in all fields. E A rapid response was called because of the unstable vital signs. B The onset of symptoms was sudden and not relieved, with the client being positioned with the head of the bed at 90 degrees. C Vital signs were obtained: 156/98; P 108; RR 26/minute; Oxygen saturation 91% on room air. F Dr. Thomas Smith was notified to obtain diuretics and critical care monitoring orders. A Client reported a cough and shortness of breath while resting.