The client has piloerection on the arms and legs and diaphoresis on the forehead. Client is wearing new, low-top athletic shoes purchased by the client’s parents instead of prescribed foot splints. During abdominal palpation, a semi-
firm mass is noted in the left lower quadrant(LLQ). Bladder is nonpalpable. History and Physical: Vital Signs110 T 99.0\deg F (37.2\deg C) P 56 RR 18 BP 192/102 Pulse oximetry reading 97% on mechanical ventilation. The nurse has collected data from the client. Which of the following would require immediate follow-up?
A. Pulse
B. Respirations
C. Diaphoresis
D. Piloerection
E. Blood pressure
F. Serum blood glucose result
G. Wearing low-top athletic shoes