A nurse is assisting with the care of client in a clinic. Based on the information in the client's medical record, which of the foll owing findings require immediate follow-up? Select the 4 findings that require immediate follow-up by the nurse.

Attends school regularly

Friend reporting client is not themselves

Heart rate 99/min

Blood pressure 122/80 mmHg

Witnessing the death of their parents and sibling

Smoking marijuana to clear their mind

Client experiences nightmares

Startles easy during thunderstorm