The nurse is caring for a patient with the following vital signs: Temperature: 98.9° F Pulse: 94 Respirations: 20 Blood pressure: 144/94 Pulse oximetry: 94% What is the priority action of the nurse?

Document the findings in the patient's medical record.

Apply a cool washcloth to the patient's forehead.

Administer oxygen at 2 U/minute via nasal cannula.

Ask the patient about his usual blood pressure results.