Select findings that require immediate follow-up by the nurse. J.T. (pronouns: he/him/his), a 34-year-old, arrives at the emergency department with stabbing abdominal pain that is 9 out of 10 on the 0-10 pain scale, with episodic rectal bleeding and severe diarrhea for the last two days. The client was recently treated and released from the hospital for a salmonella infection. Vitals are T 98.7 °F (37 °C), BP 90/64, P 124, R 18, oxygen saturation 96% RA. J.T. states, “I try to eat healthy,” but a busy work schedule has him eating fast food most days during the work week.
