Before completing the morining assessment, the nurse concludes that the patient is experiencing inadequate oxygenation and tissue perfusion as a result of respiratory problems. Which assessment findings support the nurse's conclusion? (Select all that apply)
a. Inspiratory and expiratory effort is shallow, even, and quiet.
b. Patient must take a breath after every third or fourth word
c. Skin is pale, pink, and dry
d. Patient appears strained and fatigued
e. Pulse of 95 beats/min, respiratory rate of 30/min
f. Patient does not want to eat