The nurse cares for a group of clients. After assessing each client, which client(s) require follow-up action from the nurse? (Select all that apply)

A client with a blood pressure of 168/91 mmHg and a headache.

A client with a blood pressure of 96/63 mmHg who says they "feel faint."

A client with a capillary refill of 4 seconds in the right extremity fingers.

A client with a heart rate of 112 beats per minute and irregular rhythm.

A client with jugular vein distention and coarse crackles in the lungs.