The nursing assistant informs the nurse that the patient's blood pressure is 220/102 using the electronic monitor. What is the priority action of the nurse?

Inform the patient's health care provider immediately to obtain an order for antihypertensive medications.

Instruct the nursing assistant to take the patient's blood pressure again and inform the nurse of the results immediately.

Take the patient's blood pressure manually with a sphygmomanometer and stethoscope.

Perform a neurological assessment to determine if the patient is stressed, in pain, or having a stroke.