The nurse is assessing the vital signs of an elderly client and obtains a temperature of 97.1 degrees Fahrenheit. Which of the following actions is most appropriate?

1. Document the finding as normal.
2. Encourage the client to drink warm fluids.
3. Request to turn up the client's thermostat.
4. Apply warmed blankets to the client.


1
Rationale 1: The body temperature in older adults is lower than that of younger clients. The mean temperature is 36.2 degrees Centigrade (97.2 degrees Fahrenheit). The temperature described is within normal limits for an elderly client.
Rationale 2: There is no need to encourage the client to drink warm fluids. The temperature described is within normal limits for an elderly client.
Rationale 3: There is no reason to request to turn up the client's thermostat. The temperature described is within normal limits for an elderly client.
Rationale 4: There is no reason to apply warmed blankets to the client. The temperature described is within normal limits for an elderly client.

Nursing

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