A nurse is documenting objective findings for a patient undergoing a cardiology assessment. Which of the following entries should the nurse include in the medical record to ensure accurate and legally appropriate documentation?

Patient complains of chest pain and states it started an hour ago.

Plan to initiate beta-blocker therapy and educate patient on medication adherence.

Blood pressure measured at 142/88 mm Hg, with a regular rhythm and bounding pulse.

Observed patient appeared anxious and seemed uncomfortable during examination.