What is the next immediate action after assessing Mrs. Coleman's vitals showing low blood pressure and high pulse rate?

Administering an IV fluid bolus is the next appropriate immediate action after assessing low blood pressure and a high pulse rate. These vital signs suggest the patient may be experiencing hypovolemia or shock, which can lead to inadequate perfusion of vital organs. Providing an IV fluid bolus can help to increase the circulating volume, thereby raising blood pressure and stabilizing the patient’s hemodynamics.

In cases of low blood pressure and high heart rate, infusion of fluids plays a crucial role in enhancing cardiac output and restoring adequate perfusion pressure. This intervention is often the first line of treatment, especially in situations like hemorrhagic or septic shock.

Other actions, such as titrating oxygen therapy or supporting ventilations, might become necessary depending on the patient's respiratory status or oxygen saturation levels; however, they do not directly address the immediate hemodynamic instability indicated by the low blood pressure. Preparing for intubation may be warranted in cases of severe respiratory compromise but is not the most immediate step in response to these vital signs. Thus, administering an IV fluid bolus is critical for stabilizing the patient's condition right away.