A nurse collects an adult client’s vital signs.  The client…

A nurse collects an adult client’s vital signs.  The client has a history of hypertension.  Based on the following findings, which vital sign result needs to be further assessed at this time? oral temperature 98.8 degrees F; radial pulse 80 beats/minute with regular rhythm; respirations 30 breaths/minute, shallow; blood pressure 118/78 mm Hg.