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 following findings require immediate follow-up? Select the 4 findings that require immediate follow-up by the nurse.

Witnessing the death of their parents and sibling

Attends school regularly

Client experiences nightmares

Blood pressure 122/80 mm Hg

Heart rate 99/min

Startles easy during thunderstorm

Friend reporting client is not themselves

Smoking marijuana to clear their mind