Difficulty: Medium
Average Score: 63%
Simulated
Passage / Scenario
A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9°C (102°F).Besides notifying the provider, which of the following is an appropriate nursing action?
Correct answer
D
Rationale
Administering acetaminophen orally is appropriate to reduce fever, which may indicate infection, while further evaluation is conducted.