What vital sign finding in Donald Lyles indicates a need for further assessment?

A blood pressure reading of 146/94 indicates hypertension, which is a significant vital sign finding that warrants further assessment. Hypertension can lead to serious health consequences if not properly addressed, including increased risk of heart disease, stroke, and other cardiovascular conditions.

In this scenario, the other vital signs listed do not suggest immediate concerns that would necessitate further evaluation. A heart rate of 88 beats per minute is within the normal range for adults, a respiratory rate of 22 may be slightly elevated but can still fall within acceptable limits depending on the context, and a temperature of 99.2 is only mildly elevated and typically not a cause for alarm. Thus, the elevated blood pressure is the most critical indicator that signals the need for additional assessment and possible intervention.