A triage nurse is assessing a client who complains of 6/10 abdominal pain and states, "I had a temperature of 40.3°C (104.5°F) at home." Which of the following actions should the nurse implement first?

Question

Quizplus · Accepted Answer

The client's pain and statement about an elevated temperature indicate that the nurse should obtain vital signs before deciding how rapidly the client should be seen by the health care provider. A urinalysis may be needed, but vital signs will provide the nurse with the data needed to determine this. The health care provider will not order a medication before assessing the client.

A Triage Nurse Is Assessing a Client Who Complains of 6/10