During a routine clinic visit, a nurse finds that a 5-year-old girl’s systolic blood pressure is above the 90th percentile. What should be the nurse’s subsequent action?

Refer the child to the healthcare provider and schedule a blood pressure evaluation in two weeks.

Perform a comprehensive assessment and avoid repeated blood pressure measurements during the examination.

Take the child’s blood pressure three times during the visit and record the highest reading.

Measure the blood pressure twice more during the visit and calculate the average of the three readings.