A nurse in a community mental health facility is assessing a group of clients who have eating disorders. Which of the following clients should the nurse refer to the provider?

Choice A reason: An oral temperature of 35.4° C (95.7° F) indicates hypothermia, which is a serious complication of eating disorders such as anorexia nervosa. Hypothermia suggests severe malnutrition and impaired thermoregulation, requiring immediate medical evaluation. This makes option A the correct answer. Choice B reason: A resting heart rate of 60/min is within the normal range for adults. While bradycardia can occur in clients with eating disorders, a rate of 60/min is not alarming and does not require urgent referral. This option is incorrect. Choice C reason: A urine output of 320 mL in 8 hours is slightly below the expected minimum of 30 mL per hour (240 mL in 8 hours). While this is reduced, it is not critically low and does not immediately necessitate referral unless it persists or worsens. This option is incorrect. Choice D reason: A blood pressure of 100/68 mm Hg is within the normal range and does not indicate an acute complication. This option is incorrect because it does not represent a dangerous finding.