A nurse is caring for a client receiving hemodialysis Exhibits A nurse is caring for a client who has received hemodialysis. Which of the following assessment findings require follow-up?

A. Vital signs require follow-up because the client’s blood pressure dropped significantly after dialysis (144/72 to 112/54 then 118/52). Post-dialysis hypotension is a common complication due to rapid fluid removal, and it can lead to dizziness, weakness, or even shock if not managed promptly. B. Weight does not require immediate follow-up in this scenario. The drop from 90 kg to 86.4 kg reflects expected fluid removal during dialysis. Monitoring trends is important, but this finding is anticipated and indicates effective fluid balance management. C. Blood glucose level of 75 mg/dL is slightly low but not critically dangerous. Since the client has type 2 diabetes, it should be monitored, but the more urgent issues are blood pressure instability, lung findings, and fistula complications. D. Presence of bruit and thrill indicates good patency of the AV fistula, which is a desired and expected finding. No follow-up is needed for this because it confirms that the access remains functional. E. Lung sounds require follow-up because new crackles in the left lower lobe suggest fluid overload or pulmonary congestion. This can indicate that dialysis did not remove sufficient fluid or that there is ongoing cardiac strain, requiring closer monitoring. F. AV fistula site assessment shows ecchymosis. While warmth and bruit/thrill are positive signs of patency, the bruising may indicate minor bleeding or infiltration and should be followed up to rule out complications like infection, hematoma, or fistula injury.