A nurse is caring for a toddler. Exhibits Click to highlight the findings that indicate the toddler requires immediate intervention. To deselect a finding, click on the finding again. Nurses' Notes Day 3: The 2-year-old toddler returns to the provider's office for worsening of symptoms and refusal to eat. Toddler is listless, laying on guardian's lap. Clear drainage draining from nose. Oral mucosa moist. Audible wheezing noted. Nonproductive, frequent cough present. Moderate subcostal retractions. Apical heart rate regular, no murmur. Abdomen nontender, bowel sounds hyperactive. Current weight 11.3 kg (25 lb) Day 3: Vital Signs Temperature 39° C (102.2° F) Blood pressure 82/40 mm Hg Heart rate 150/min Respiratory rate 66/min Oxygen saturation 95% on room air