Problem: A nurse caring for a client recently admitted to the ICU observes the client coughing up large amounts of pink, frothy sputum. Lung auscultation reveals coarse crackles in the lower lobes bilaterally. Based on this assessment, the nurse recognizes this client is developing tuberculosis. acute exacerbation of chronic obstructive pulmonary disease. decompensated heart failure with pulmonary edema. bilateral pneumonia.