The nurse in the long-term care facility is caring for a 19-year-old client. The nurse has collected data from the client. Nurses' Notes History and Which of the following would require immediate follow-up? Vital Signs Laboratory Physical Results
1. Pulse 1100: Client has piloerection on the arms and legs and diaphoresis on the forehead. Client is wearing new, low-top athletic shoes purchased.
2. Respirations the client's parents instead of prescribed foot splints. During abdominal palpation, a semi-firm mass is noted in the left lower quadrant (LLQ).
3. Diaphoresis Bladder is nonpalpable.
4. Piloerection.
5. Blood pressure.
6. Serum blood glucose result.
7. Wearing low-top athletic shoes.