The nurse is caring for a client with a fever of 101.8°F oral. Which other vital signs should the nurse anticipate would be affected?
1. Pulse rate
2. Respiratory rate
3. Diastolic blood pressure
4. Systolic blood pressure
5. Oxygen saturation
1, 2
Rationale 1: Pulse rate will increase with fever.
Rationale 2: Respiratory rate will increase with fever.
Rationale 3: Blood pressure is usually not significantly impacted by fever.
Rationale 4: Blood pressure is usually not significantly impacted by fever.
Rationale 5: The client's oxygen saturation might remain normal with a fever unless his respiratory status is compromised, and then the increased demand for oxygen could cause a drop in oxygen saturation.
Global Rationale: Pulse and respiratory rate will increase with fever. Blood pressure is usually not significantly impacted by fever. The client's oxygen saturation might remain normal with a fever unless his respiratory status is compromised, and then the increased demand for oxygen could cause a drop in oxygen saturation.
You might also like to view...
A patient complains of a severe sore throat, fever, and difficulty swallowing due to severe pain. A rapid strep test is performed which reveals group A streptococci. The nurse should assess the patient for:
A) Nuchal rigidity B) Electrolyte imbalance C) Lethargy D) Pneumonia
The stage of family development that begins at the birth or adoption of the first child is known as the:
a. expectant stage. b. parenthood stage. c. establishment stage. d. engagement/commitment stage.
A patient is prescribed fluoxetine 20 mg by mouth daily for treatment of depression. The nurse caring for the patient is unfamiliar with this drug. Which action should she take before administering the medication?
1) Inform the prescriber that she is not comfortable administering the drug. 2) Ask a nursing colleague for relevant information about the drug. 3) Consult the drug formulary accessible to staff at the patient care unit. 4) Trust the prescriber writes the dose and administer the drug as intended.
A client is experiencing a change in skin status. During the assessment, the nurse asks about any changes in laundry products as part of which of the following systems review?
1. Environmental changes 2. Nutritional patterns 3. Activities and exercise patterns 4. Cultural influences