After Obtaining a Full Set of Vital Signs,the Nurse Assesses

After obtaining a full set of vital signs,the nurse assesses the client's fifth vital sign as a 7 on a scale of 1 to 10 (or 7/10) .Which action by the nurse is most appropriate?

A) Document the pulse pressure as normal and continue the client's assessment.
B) Review the client's records to determine the last time he received pain medication.
C) Assess the client's pulse on the opposite side for comparison.
D) Wait 2 minutes and retake the client's blood pressure.