A nurse is admitting an 8-year-old child to the pediatric unit. Exhibits A nurse is reviewing the child's electronic medical record (EMR). Which of the following findings should the nurse identity as requiring immediate follow-up? Select the 5 findings that require immediate follow-up.

A. Abdominal assessment: The child’s abdomen is flat, non-distended, and bowel sounds are active, which are expected findings. This does not require immediate follow-up. B. Peripheral pulses: Radial and pedal pulses are 1+ bilaterally with delayed capillary refill of 4 seconds, suggesting poor perfusion and early shock. This requires prompt follow-up to prevent cardiovascular compromise. C. Pain assessment: The child reports a severe headache (7/10), along with nausea and irritability. Combined with fever and nuchal rigidity, this pain points toward possible meningitis, making this a priority finding. D. Neurologic assessment: Lethargy, irritability, agitation, and nuchal rigidity are concerning neurologic findings. These indicate possible central nervous system infection or increased intracranial pressure, requiring immediate provider notification. E. WBC: A WBC count of 14,000/mm³ is elevated, suggesting infection. However, this is an expected finding given the clinical picture and does not require immediate intervention beyond the already ordered cultures and administration of antibiotics. F. Hemoglobin: A hemoglobin of 9.5 g/dL is below normal, indicating anemia. In the context of tachycardia and poor perfusion, this may worsen oxygen delivery and requires provider follow-up. G. Glucose: A glucose of 90 mg/dL is within normal limits for a child and does not require immediate follow-up. H. Temperature: A fever of 38.7°C (101.7°F) is significant in combination with neurologic changes and petechiae, raising concern for meningitis or sepsis. This finding requires urgent follow-up.