Patient Data Exhibits The nurse is reviewing the client's initial assessment findings. Which assessment findings require follow-up? Select all that apply.

IV site without redness or swelling

Temperature: 98.8° F (37.1° C)

Respirations: 28 breaths/minute

Heart rate: 92 beats/minute

Taking shallow breaths

Alert and oriented to person, place, time and situation

Pain 8 on a 0 to 10 scale

Blood pressure: 138/82 mm Hg

Blood pressure: 138/82 mm Hg