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A 42-Year-Old Female Client Has a Rectal Temperature Reading of 39.2°C

Question 5

Multiple Choice

A 42-year-old female client has a rectal temperature reading of 39.2°C (102.6°F) . Her blood pressure has decreased from 124/76 to 118/70 mm Hg since taken 4 hours earlier. Her pulse rate has increased from 68 to 78 beats/min. What is the nurse's best initial action?


A) Document the vital signs, and discontinue the assessment.
B) Contact the provider immediately due to the alarming changes in the vital signs.
C) Obtain a pulmonary artery temperature reading before initiating any type of treatment.
D) Ask the unlicensed assistive personnel (UAP) to obtain another set of vital signs in 4 hours.

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