The Nurse Is Concerned That a 10-Year-Old Patient Injured in a Motor

The nurse is concerned that a 10-year-old patient injured in a motor vehicle accident may be developing septic shock. Which assessment findings would support this concern?. Select all that apply.

A) The heart rate is 120 bpm sustained.
B) The patient has thready peripheral pulses.
C) The patient is crying.
D) Capillary refill is 2 seconds.
E) The patient has diarrhea.