Orbital dynamics provide valuable insights into the evolution and diversity of exoplanetary systems. Currently, only one hot Jupiter, WASP-12b, is confirmed to have a decaying orbit. Another, WASP-4b, exhibits hints of a changing orbital period that could be caused by orbital decay, apsidal precession, or the acceleration of the system toward the Earth. We have analyzed all data sectors from NASA's Transiting Exoplanet Survey Satellite together with all radial velocity (RV) and transit data in the literature to characterize WASP-4b's orbit. Our analysis shows that the full RV data set is consistent with no acceleration toward the Earth. Instead, we find evidence of a possible additional planet in the WASP-4 system, with an orbital period of ~7000days and M_c_sin(i) of 5.47_-0.43_^+0.44^M_Jup_. Additionally, we find that the transit timing variations of all of the WASP-4b transits cannot be explained by the second planet but can be explained with either a decaying orbit or apsidal precession, with a slight preference for orbital decay. Assuming the decay model is correct, we find an updated period of 1.338231587{+/-}0.000000022days, a decay rate of -7.33{+/-}0.71ms/yr, and an orbital decay timescale of {tau}=P/|P.|=15.77{+/-}1.57Myr. If the observed decay results from tidal dissipation, we derive a modified tidal quality factor of Q_*_'=5.1{+/-}0.9x10^4^, which is an order of magnitude lower than values derived for other hot Jupiter systems. However, more observations are needed to determine conclusively the cause of WASP-4b's changing orbit and to confirm the existence of an outer companion.