A nurse is caring for a client in a clinic. Exhibits 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 follow-up.

Smoking marijuana to clear their mind

BP 122/80 mm Hg

Witnessing their family's death

Attends school regularly

Client experiences nightmares

Startles easy during thunderstorm

Heart rate 99/min

Caregiver reporting client acting differently than usual