Exhibits Select the 4 assessment findings that require immediate follow up.

A. Radial and pedal pulses 2+: This is a normal finding indicating adequate peripheral perfusion. It does not require immediate follow-up unless paired with other circulatory deficits. B. Vomiting small amounts of green bile: Suggests possible bowel obstruction or irritation of the upper GI tract. Bile-stained emesis is abnormal and needs urgent evaluation to rule out obstruction or surgical abdomen. C. Blood pressure 115/76 mm Hg: This is within normal limits for a young adult and does not indicate hemodynamic instability. No immediate action is needed based on this BP reading. D. Feels anxious: Anxiety is common in acute illness and not unusual in the emergency setting. It should be addressed supportively but does not indicate an urgent clinical issue requiring intervention. E. Capillary refill 2 seconds: This is a normal peripheral perfusion finding and does not signal shock or poor circulation. No immediate follow-up is needed for this assessment. F. Heart rate 121 beats/minute: Indicates tachycardia, which may be a response to pain, fever, or systemic inflammation. This vital sign requires immediate follow-up to determine the underlying cause and prevent worsening. G. Temperature 100.8° F (38.2° C): Suggests the possibility of infection, especially when combined with right lower quadrant pain. This may be a sign of appendicitis or another intra-abdominal inflammatory process. H. Respirations 28 breaths/minute with shallow breathing: Tachypnea with shallow effort suggests pain or possible early compensation for systemic distress. This finding warrants further assessment but is less immediately concerning than the others listed. I. Severe abdominal pain in right lower quadrant: This could indicate appendicitis or another surgical emergency. Sudden onset pain in this region with fever and vomiting requires urgent diagnostic imaging and intervention.