A nurse in an outpatient mental health clinic is caring for a client. Exhibit 1 Vital Signs 3 months ago: Blood pressure 116/68 mm Hg Heart rate 82/min Respiratory rate 16/min Temperature 36.7° C(98.1° F) SaO2 97% on room air Today: Blood pressure 128/76 mm Hg Heart rate 104/min Respiratory rate 22/min Temperature 37.4° C(99.4° F) SaO2 97% on room air Exhibit 2 Nurses' Notes 3 months ago: Client recently admitted with new diagnosis of schizophrenia. Received inpatient treatment for 10 days and was discharged 1 week ago. Client is alert and oriented to person, place, time, and situation. Responds appropriately to questions. Client reports sleeping well and working at a local retail store. Today: Client presents for follow-up visit. Pressured speech noted. Appears to be listening to unseen others. Client is restless. Frequently getting out of chair. Appears tired and disheveled. Exhibit 3 Graphic Record 3 months ago: 83.9 kg (185 lb) Today: 83 kg(183 lb) A nurse in an outpatient mental health clinic is caring for a client. Select the 3 findings that require immediate follow-up.