Answer to Question 1
Correct Answer: 3
Although the client's symptoms indicate a potential problem, the nurse first must assess the client. Perhaps the client ran up several flights of stairs because he was running late for an appointment. It would be irresponsible practice to treat the client before assessing him first. After assessing the client, the nurse can determine the best course of action.
Answer to Question 2
Correct Answer: 1,2
Pulse and respiratory rate will increase with fever. The client's oxygen saturation might remain normal with a fever unless his respiratory status is compromised, and then the increased demand for oxygen could cause a drop in oxygen saturation. Blood pressure is usually not significantly impacted by fever.