The Nurse Is Completing an Assessment on a Patient Who $\degree$

The nurse is completing an assessment on a patient who was just admitted from the emergency department. Which assessment findings would require immediate attention? (Select all that apply.)

A) Sudden restlessness
B) Temperature: 38.6 $\degree$ C
C) Oxygen saturation: 95%
D) Heart rate: 130 beats per minute
E) Systolic blood pressure: 150 mm Hg
F) Respiratory rate: 22 breaths per minute