A nurse on a medical-surgical unit is reviewing the electronic health record of a client who is being admitted from the emergency department. Exhibits After reviewing the client's EHR, which of the following client's findings require further follow-up by the nurse? Click to highlight the client's findings that require further follow-up by the nurse. To deselect a finding, click on the finding again. Body System Findings Gastrointestinal Client reports abdominal pain as a 9 on a pain scale of 0 to 10. Abdomen is distended and firm. Bowels sounds are distant and hypoactive. Integumentary Skin is warm and dry. Perianal skin is excoriated, and small ulceration is noted. Fluid balance Tenting of skin for 4 seconds is noted. Capillary refill is 2 seconds. Temperature 38.7° C (101.7° F) Mucous membranes are dry. Respiratory rate 20/min