which client should the nurse see first? bronchitis, increased mucus and painful cough, pef 390 ml out of best pef 475 ml. refractory asthma, pef 210 ml out of best pef 450ml, diminished wheezing. pleuritis, respirations 22/min, rates right sided pain with inspiration 7 out of 10. copd, respirations 22/min, pulse ox 90%, reports fatigue and dyspnea with activity.