A client has been receiving care for an elevated body temperature. Which of the following would indicate that care has been effective?
1. Moist mucous membranes
2. Urine output 20 ml/hour
3. Blood pressure 118/68 mmHg
4. Tenting of skin
1. Moist mucous membranes
Rationale:
Evidence that interventions have been effective for a client with an elevated body temperature includes moist mucous membranes and good skin turgor. Urine output of 20 ml/hour indicates dehydration. Blood pressure of 118/68 mmHg is not an indication of the control of fever. The tenting of skin indicates dehydration.
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