The nurse is reviewing the medical records of the client who is exhibiting mania. Which of the following actions should the nurse take? Select all that apply. Vital Signs 0800: Heart rate 110/min Respiratory rate 20/min Blood pressure 132/80 mm Hg Temperature 37.2° C (99° F) 1100: Heart rate 120/min Respiratory rate 24/min Blood pressure 149/90 mm Hg Temperature 37.2° C (98.9° F)