The nurse determines that an adult client who is admitted to the postanesthesia care unit (PACU) following abdominal surgery has a tympanic temperature of 94.6°F (34.8°C), a heart rate of 88 beats/minute, a respiratory rate of 14 breaths/minute, and a blood pressure of 94/68 mm Hg. Which action should the nurse implement?

D Ask the client to cough and deep breathe. A Raise the head of the bed to 60 to 90 degrees. C Check the blood pressure every five minutes for one hour. B Take the client's temperature using another method.