A nurse is assisting with the care of a client in an emergency department (ED). Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again. Nurses' Notes Day 1,2130: Client presents to ED with reports of abdominal distention, feelings of fullness. belching, and flatulence, along with right upper quadrant abdominal pain. Client reports manifestations worsened after large meal for dinner and that they felt a burning sensation in their upper chest. Reports frequent loose stools with episodes of nausea. Client rates pain as 7 on a scale of 0 to 10. Brought in by partner. Client is alert and oriented to person and place. Appears restless. 51. 52 heard, no murmur detected. Lungs clear bilaterally. Skin turgor is less than 2 seconds. Peripheral catheter inserted in left forearm. Provider notified.