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

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Quizplus · Accepted Answer

The nurse simply needs to continue monitoring the patient's vital signs.The patient's temperature of 102.5°F (39.2°C)is not considered an emergency temperature for an adult.A moderate fever of up to 103°F (39.4°C)is considered a mechanism by which the body fights off infection.The metabolic rate is expected to increase with a fever,which will lead to an increase in the pulse rate.Blood pressure is more likely to decrease with a fever because of peripheral vasodilation.

A 42-Year-Old Client Has a Rectal Temperature Reading of 39