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 identify as requiring immediate follow-up? Select the 5 findings that require immediate follow-up.

Rationale for Correct Answers: Hemoglobin: A hemoglobin of 9.5 g/dL is low and may indicate anemia, which is concerning in a child presenting with infection and signs of poor perfusion (e.g., delayed capillary refill). Pain assessment: The child reports a pain level of 7/10 with associated irritability and nuchal rigidity, which may indicate meningeal irritation or neurologic involvement. Neurologic assessment: Lethargy, irritability, and nuchal rigidity strongly suggest possible bacterial meningitis, which can progress rapidly and requires immediate intervention. Peripheral pulses: Diminished radial and pedal pulses (+1) alongside a capillary refill of 4 seconds suggest impaired perfusion, potentially due to sepsis or early shock. Temperature: A fever of 38.7°C (101.7°F) in a child with neurologic signs increases concern for central nervous system infection like meningitis. Rationale for Incorrect Choices: Glucose: The glucose level of 90 mg/dL is within normal limits for an 8-year-old and does not currently indicate hypoglycemia or hyperglycemia requiring intervention. Abdominal assessment: The abdomen is flat, non-distended, and with active bowel sounds, suggesting no acute abdominal pathology at this time. WBC: While elevated at 14,000/mm³, the WBC count aligns with a likely infection and is expected; it does not independently require immediate intervention unless trends worsen.