A nurse reviews vital signs for a patient admitted with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings at the times listed:
0200: $\quad$118/78 mm Hg and 72 beats/min
0400: $\quad$126/80 mm Hg and 76 beats/min
0600: $\quad$128/82 mm Hg and 72 beats/min
0800: $\quad$132/88 mm Hg and 80 beats/min
1000: $\quad$148/94 mm Hg and 96 beats/min
What is the nurse's priority action?

Question

Quizplus · Accepted Answer

Elevated pulse and blood pressure may indicate impending alcohol withdrawal and the need for medical intervention.No indication is present that the patient may have a urinary tract infection or is presently in need of restraint.Hydration will not resolve the problem.

A Nurse Reviews Vital Signs for a Patient Admitted with an Injury