A nurse in a provider's office is caring for a school-age child. Click to highlight below the findings that require follow-up by the nurse. To deselect a finding, click on the finding again. Body System Findings Integumentary Skin turgor with tenting. Facial puffiness and swelling were noted around the periorbital area. + 1 pitting edema noted in lower extremities. Skin warm and dry to the touch. Cardiopulmonary Capillary refill 4 seconds. Heart rate regular without murmurs or gallops. Pedal pulses +3 bilaterally. Gastrointestinal Abdomen soft rounded, and nondistended. Bowel sounds hyperactive in all 4 quadrants. Last bowel movement yesterday, was brown, loose, and liquid.