A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

Rationale: • Heart rate of 110/min indicates tachycardia, which can be an early sign of hypovolemia, sepsis, or pain and should be followed up due to the recent report of a "popping" sound and increased drainage. • Abdominal dressing now has a large amount of serosanguinous drainage, suggesting possible wound dehiscence or evisceration, which is a surgical emergency requiring prompt evaluation. • Blood pressure of 98/50 mm Hg indicates hypotension, which, along with tachycardia and fever, suggests potential sepsis or internal fluid loss and needs immediate intervention. • Pedal pulses are 2+, which is within normal limits and unchanged from Day 1, indicating adequate peripheral perfusion at present. • Oxygen saturation at 95% on room air is within normal limits and not significantly changed from previous levels, requiring no urgent action. • Breath sounds are still clear and present bilaterally, indicating no respiratory compromise or pulmonary complication at this time.