A Nurse Reviews Vital Signs for a Patient Admitted Last

A nurse reviews vital signs for a patient admitted last night with an injury sustained while intoxicated.The medical record shows these blood pressure and pulse readings:
Admission,2 AM - 118/78 mm Hg and 72 beats/min
4 AM - 126/80 mm Hg and 76 beats/min
6 AM - 128/82 mm Hg and 72 beats/min
8 AM - 132/88 mm Hg and 80 beats/min
10 AM - 148/94 mm Hg and 96 beats/min
What is the nurse's priority action?

A) Force fluids.
B) Consult the health care provider.
C) Obtain a clean-catch urine sample.
D) Place the patient in a vest-type restraint.