A triage nurse in the emergency department assesses a client who complains of 7/10 abdominal pain and states. "I had a temperature of 103.9 Fat home." Which action should the nurse take first?

Give acetaminophen per agency protocol

Assess the patient's current vital signs.

Ask the client to provide a clean-catch urine for urinalysis.

Tell the client that it will be 1 to 2 hours before seeing a health care provider