The nurse who is working on a pediatric unit receives shift report for 4 neonates with congenital heart defects. The neonate with which report requires the most immediate intervention?

Tetralogy of Fallot (TOF) with hypercyanotic (TET) spells is crying.

Coarctation of aorta has an elevated blood pressure in upper extremity.

Patent ductus arteriosus is fatigued after feedings.

Ventricular septal defect (VSD) has audible murmurs.