A 42-Year-Old Client Has a Rectal Temperature Reading of 39

question 39

Multiple Choice

A 42-year-old client has a rectal temperature reading of 39.2°C (102.6°F) .Her blood pressure has decreased from 124/76 to 118/70 since taken 4 hours earlier.Her pulse rate has increased from 68 to 78.The nurse's initial best action is to:

• A) Document the vital signs and continue with her assessment
• B) Contact the provider immediately due to the alarming changes in the vital signs
• C) Obtain a pulmonary artery temperature reading before initiating any type of treatment
• D) Ask the NAP to obtain another set of vital signs in 4 hours

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Definitions:

Framing Effects

How people's decisions and perceptions can be influenced by how information is presented to them or framed.

Framing

The process of constructing the perspective or viewpoint from which a narrative, problem, or situation is perceived and interpreted.

Loss Averse

A psychological phenomenon where individuals prefer avoiding losses over acquiring equivalent gains, emphasizing the idea that losses are more impactful on an individual's emotional state than an equal amount of gain.

Making a Decision

The cognitive process of selecting a course of action from among multiple alternatives, often involving weighing the risks and benefits of different options.