A nurse is caring for a client in an outpatient substance use disorder treatment facility. Click to highlight the findings in the nurse's notes that require immediate follow-up. To deselect a finding, click on the finding again. Client started using cocaine to help with energy needed to adapt to new job and newborn baby. Client recently completed detoxification treatment at an inpatient facility and is planning to continue treatment on an outpatient basis once weekly. Showed up in soiled work clothes. Very talkative, restless, and constantly moving around. Overheard telling another client, "I have not had a BM yet today." During a coffee break after group therapy client announced, "Feel my arm, I think I have a fever, and my heart feels like it is racing." Pupils are noted to be dilated.