A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

A. These vital signs are generally within expected ranges for a 2-year-old child. B. A blood pressure of 79/40 mm Hg is low for a 2-year-old, and the elevated heart rate of 135/min and increased respirations suggest that the child may be experiencing significant distress or volume depletion, requiring immediate attention. C. These vital signs are within normal limits for a 2-year-old child. D. Although the blood pressure is on the lower end of normal and heart rate is slightly elevated, these findings are less concerning than option B.