Question

An immune-compromised client is being treated for a leg wound infection which has minimal redness and is unchanged since admission. The client's temperature has increased to 99.9°F (37.7°C). What should be the nurse's next action? 1. Document the findings. 2. Assess the white blood cell count. 3. Deliver acetaminophen 650 mg orally. 4. Elevate the leg on 2 pillows.

Answer 1

Answer ; 3). Deliver acetaminophen 650 mg orally.

Reason ; In the given scenario, the client is immune- compromised and he had infection with body temperature higher than normal. At this time the appropriate action that the nurse can do is the above mentioned one. Option 1 should not be done, because these finding is not normal, Option 2 is not the priority concern and the last option is not relevant to the current condition.