t: 37.0 rectal (c) faces: 0 p: 85 (regular) awake 100-180, sleeping 90-160 bpm legs: 0 r: 36 (regular) 30-53 bpm activity: 0 bp: 74/50 left leg systolic 72-104 mm/hg diastolic 37-56 mm/hg crying: 0 o2 sat: 98% on ra consolability: 0 what vs data are relevant and must be noticed as clinically significant by the nurse?