A 15-year-old presents to the emergency department with fever that has persisted all day long along with dizziness. He

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A 15-year-old presents to the emergency department with
fever that has persisted all day long along with dizziness.
He has a history of sickle cell disease diagnosed as a
newborn. Current assessment findings include:
Temperature: 102.7
Blood Pressure: 109/55
Heart Rate: 120
Respiratory Rate: 18
O2 Sat: 98% Room Air
Cap Refill: 3 sec
Extremity Pulse: 3+
Abdominal and chest pain rated 6 out of 10 on numerical pain
scale.
Which of these assessment findings require follow up by the
nurse. Select all that apply
Temperature 102.7
Blood Pressure 109/55
Cap Refill 3 seconds
Exremity Pulse 3+
Pain 6/10
O2 Sat 98%
Respiratory Rage 18
Heart Rate 120