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

Question 39

Multiple Choice

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:


A) Document the vital signs and continue with her 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 NAP to obtain another set of vital signs in 4 hours

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