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

The finding of a blood pressure of 146/94 indicates a need for further assessment because it falls into the category of stage 1 hypertension according to the American Heart Association guidelines. This elevated blood pressure may suggest potential cardiovascular issues, increased risk for heart disease, or other underlying health concerns that require investigation.

Monitoring blood pressure is crucial as it can significantly affect overall health, and an assessment may include obtaining a detailed medical history, evaluating for symptoms of hypertension-related complications, considering lifestyle factors, and possibly conducting additional tests.

In contrast, a heart rate of 88 is within a normal range, as well as a respiratory rate of 22, which might be slightly elevated but not critically so in many contexts, and a temperature of 99.2, which is generally considered low-grade and typically not alarming. Each of these findings can indicate minor variations in health but do not necessitate the same level of immediate and focused assessment as the blood pressure reading does.