A client's temperature after dialysis is 99° F (37.2° C) and was normal before dialysis. Which is the nurse's best action?

a. Continue to monitor the temperature.
b. Encourage the client to drink fluids.
c. Obtain a white blood cell count.
d. Prepare to culture the fistula site.


A
The client's temperature may be elevated because the dialysis machine warms the blood slightly. An excessive temperature elevation from baseline can signal sepsis. The nurse should inform the provider and obtain blood cultures if this happens. The other actions are not needed.

Nursing

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