Select the 3 findings that require immediate follow-up by the nurse.

Emesis (vomiting without visible blood)

Movement of hands and fingers — moderate tremors

Behavior — hallucinations ("get the mice out") and increasing agitation

Integumentary findings — scratch marks, reported itching

Mucous membranes — pink and dry

Vital signs — must be assessed for withdrawal crisis (hypertension, tachycardia, hyperthermia)