A Nurse Reviews Vital Signs for a Patient Admitted with an Injury

Multiple Choice

A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings at the times listed:
0200: $\quad$ 118/78 mm Hg and 72 beats/min
0400: $\quad$ 126/80 mm Hg and 76 beats/min
0600: $\quad$ 128/82 mm Hg and 72 beats/min
0800: $\quad$ 132/88 mm Hg and 80 beats/min
1000: $\quad$ 148/94 mm Hg and 96 beats/min
What is the nurse's priority action?

A) Force fluids.
B) Consult the health care provider.
C) Obtain a clean-catch urine sample.
D) Place the patient in a vest-type restraint.