[Solved]: The nurse immediately continues to assess

The nurse immediately continues to assess. Tyler tracks the nurse with his eyes and tries to grab the stethoscope. The nurse finds that Tyler has 3+ brachial and femoral pulses bilaterally. Tyler continues to hav intercostal retractions and, when palpating for the PMI, the nurse notes it is deviated and produces a lift und the nipple line at the sixth intercostal space. The infant shows no signs of edema on the extremities, and the capillary refill time is two seconds on the chest and toes.A repeat check of Tyler’s vital signs indicates that his heart rate is 162/minute, respirations are 64/minute, and his oxygen saturation is 94% on room air.The nurse removes the diaper to weigh Tyler and notes scrotal edema. Tyler spontaneously voids urine while on the scale. His weight is 4535 grams (10 pounds) which is a gain of 3 pounds from his birth weight of 7 pounds 3 ounces (3260 grams).Which of the following should the nurse identify as unexpected findings and report to the provider immediately? (Select all that apply.) Cardiac findings Weight gain Extremity assessment Genitourinary assessment Nutrition assessment Developmental milestones Respiratory findingsC2@R23 9 /F