A nurse is performing change of shift assessments for four clients. Which of the following findings should the nurse report to the provider first?

A client who has gastroenteritis and is lethargic and confused

A client who has cystic fibrosis, has a thick, productive cough and reports thirst

A client who has sickle cell anemia and reports pain 15 min after receiving oral analgesic

A client who has diabetes mellitus and has a morning fasting capillary glucose of 185 mg (14 to 10% mg/L)