The nurse is caring for a laboring patient who develops a fever after she has had her epidural initiated.What actions by the nurse are appropriate? (Select all that apply.)

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Heat dissipation is reduced as a result of decreased hyperventilation,sweating,and activity after the onset of pain relief.Vasodilation redistributes heat from the core to the periphery of the body,where it is lost to the environment.Assessing the skin will demonstrate findings consistent with vasodilation.Shivering often occurs with sympathetic blockade accompanied by a dissociation between warm and cold sensations.In essence,the body believes that the temperature is lower than it actually is and turns up the "thermostat." Bladder distention is an anticipated effect of having an epidural.A woman's bladder fills quickly because of the large quantity of IV solution,yet her sensation to void is reduced.Maternal hypotension is an expected side effect of epidural initiation.The nurse should assess the bladder and blood pressure,but these actions are not related to the fever.A blood patch procedure is not warranted for this patient.

The Nurse Is Caring for a Laboring Patient Who Develops