Question 2 of 2 On assessment, the nurse notes the client is…

Question 2 of 2 On assessment, the nurse notes the client is diaphoretic and anxious.  Their affected extremity is warm, +2 pedal pulse that is equal to the other extremity.  The pain level is unchanged from the morning assessment.  Vital sings are noted below.  Vital Signs BP 135/84 mmHg HR 112 bpm RR 24 bpm SpO₂ 87% on RA Temp 98.9 F Which immediate nursing action is most appropriate?