The nurse is caring for a patient with diabetes. Exhibits The nurse has just completed the on-coming shift assessment for their client. Select the "6" findings that require immediate follow-up

A. Oxygen saturation of 98% on room air is within normal limits and not immediately concerning. There is no sign of respiratory distress or hypoxia that requires acute intervention. B. Blurry vision may be a sign of acute hyperglycemia affecting ocular perfusion or swelling of the lens, often seen during diabetic ketoacidosis (DKA). Visual changes can be transient but signal metabolic instability that needs monitoring. C. Blood pressure of 90/54 mmHg is hypotensive, which may indicate dehydration and poor perfusion, common in DKA due to osmotic diuresis. It also raises concern for shock if not treated promptly. D. Blood glucose displaying “hi” on the glucometer indicates levels likely above 600 mg/dL, pointing toward a hyperglycemic crisis like DKA and requiring immediate insulin and fluid therapy. E. Nausea is an early symptom of DKA as ketone accumulation and metabolic acidosis irritate the gastrointestinal system. This also increases the risk for further dehydration and electrolyte imbalances. F. Pain level reported as 0/10 indicates the patient is currently not in discomfort. While headache was mentioned, its absence as a pain concern suggests it is not a critical issue at this moment. G. Fruity odor to breath is a hallmark of ketone accumulation, indicating ketosis or ketoacidosis. This is a critical red flag that demands prompt insulin and hydration therapy to avoid worsening acidosis. H. Heart rate of 122 bpm is tachycardia, a compensatory response to dehydration and hypotension in DKA. Persistent tachycardia with low BP is a sign of fluid deficit and early circulatory compromise.