A 32-yeаr-оld femаle is аdmitted tо the emergency department fоr abdominal pain that has worsened over the past 2 days. She states that she has a history of ulcerative colitis, and that it has “never been this bad.” She is lying still on the bed and reluctant to turn for an assessment. Vital signs are blood pressure 132/88 mm Hg, pulse 98 bpm, respirations 26 and shallow, temperature 101°F (38.3°C). The abdomen is slightly distended with rebound tenderness noted upon gentle palpation of the left upper quadrant. The patient reports having 8 diarrhea bowel movements in the last 24 hours, with blood noted in most of them. She also reports feeling “so tired” all the time and having nausea but no vomiting. She has only had water to drink for the last 24 hours because she has not been hungry. She rates the abdominal pain at an “8” as long as she does not move. Lab results include hemoglobin 12 g/dL, hematocrit 37.2%, sodium 136 mEq/L, and potassium 4.2 mEq/L. Choose the assessment findings that require immediate follow-up by the nurse. Select all that apply
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