A client's VS are T 99.9F, P 105, BP 110/70, RR 24, O2 Sat 90%. Which action is the nurse's priority?
- Administer 650 mg acetaminophen orally
- Administer 1 liter NSS IV rapid infusion
- Administer Vancomycin 1 gm IV stat
- Administer oxygen 2 liters per minute via NC