A client presents with cyanosis, tachypnea, grunting, and reports that he or she cannot breathe. What is the immediate response the nurse should take?1. Ask questions about symptoms while performing a quick examination.2. Ask extensive questions about occupation factors, smoking habits, and living environment.3. Complete a full assessment including demographic data, health history, respiratory-cardiovascular history, environmental history, and lifestyle.4. Inspect to observe respiratory patterns and signs of respiratory distress.

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