36. A nurse is reviewing the chart of a client recently diag… Questions 36. A nurse is reviewing the chаrt оf а client recently diаgnоsed with gastrоesophageal reflux disease (GERD). Which finding requires the nurse to notify the healthcare provider immediately? Patient Chart: Assessment Finding Vital Signs BP: 128/78 mmHg, HR: 88 bpm, RR: 18, Temp: 98.9°F Medications Omeprazole 20 mg daily Subjective Report "Burning sensation in chest after meals, especially when lying down." Diet Low-fat diet, avoids spicy foods Recent Symptoms Difficulty swallowing, weight loss of 8 lbs in 2 weeks Lifestyle Smokes 1 pack/day, drinks alcohol occasionally Show Answer Hide Answer