[Solved]: Client is awake and alert, sitting in the ER bed

Client is awake and alert, sitting in the ER bed. Normal S1 and S2 sounds, no murmur. Normoactive bowel sounds. Expiratory wheezes heard bilaterally, prolonged expiratory phase. Mild intercostal retractions. Nonproductive, dry cough. Client coughing frequently. Pulses 2+ in all four extremities, capillary refill time less than 3 seconds. Moves all four extremities with adequate strength and tone. Pupils equal, round, reactive to light. Clear nasal discharge. Pharynx erythematous, but no purulent exudate seen. Dad at bedside. Client drinking juice. Placed call light within reach. Bed rails raised x1. Temp 99.2°F (37.3°C) HR 75 bpm RR 30 breaths/min SpO2 92% on room air BP 105/72 mm Hg