Temperature Measurement:
Temperature Measurement: ( 5 Questions)
A nurse is assessing a client's body temperature and obtains a reading of 102°F (38.9°C). What action should the nurse take?
Administering antipyretic medication may be appropriate based on the client's symptoms and healthcare provider's orders, but it is not the immediate action for a single temperature reading of 102°F.
Document the temperature and continue monitoring. Explanation: A temperature reading of 102°F (38.9°C) indicates a fever but does not require immediate intervention unless accompanied by other significant symptoms or in certain high-risk populations. The nurse should document the temperature and continue monitoring the client's condition.
Applying cool compresses can provide comfort to the client but does not address the underlying cause of the fever.
Notifying the healthcare provider immediately is not necessary based solely on a temperature reading of 102°F without other significant symptoms or concerns.
Answer: b. Document the temperature and continue monitoring. Explanation: A temperature reading of 102°F (38.9°C) indicates a fever but does not require immediate intervention unless accompanied by other significant symptoms or in certain high-risk populations. The nurse should document the temperature and continue monitoring the client's condition.
a. Administering antipyretic medication may be appropriate based on the client's symptoms and healthcare provider's orders, but it is not the immediate action for a single temperature reading of 102°F.
c. Applying cool compresses can provide comfort to the client but does not address the underlying cause of the fever.
d. Notifying the healthcare provider immediately is not necessary based solely on a temperature reading of 102°F without other significant symptoms or concerns.