Author Question: A 42-year-old client has a rectal temperature reading of 39.2C (102.6F). Her blood pressure has ... (Read 54 times)

codyclark · **on:** Jul 22, 2018

A 42-year-old client has a rectal temperature reading of 39.2C (102.6F). 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

Question 2

A client's axillary temperature is 100.8F. The nurse realizes this is outside normal range for this client, and that axillary temperatures do not reflect core temperature. What should the nurse do to obtain a good estimate of the core temperature?

a. Add 1F to 100.8F to obtain an oral equivalent.
b. Add 2F to 100.8F to obtain a rectal equivalent.
c. Obtain a rectal temperature reading.
d. Obtain a tympanic membrane reading.