The patient's oral temperature is 37.1° C (98.78° F) at 1 PM. Which of the following actions should the nurse take next? (Select all that apply.)
a. Administer acetaminophen (Tylenol) 650 mg by mouth now.
b. Off the patient an additional blanket.
c. Document that the patient is normotensive.
d. Compare this with the patient's prior readings.
C
This temperature is within normal limits. Because the temperature reading is within normal limits, other intervnetions are not needed. Providing a blanket would increase the temperature. Comparing the temperature with other readings would be done if the temperature was outside of the normal range. Treating the patient with acetaminophen would be done if the patient's temperature was elevated and you had a healthcare provider order.
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