Difficulty: Medium
Average Score: 77%
Simulated
The unlicensed assistive personnel (UAP) reports the vital signs for a first-day postoperative client as T 100.8┬░F, P 80, R 24, and BP 148/80. Which intervention would be most appropriate for the nurse to implement?
Correct answer
C
Rationale
A low-grade fever (100.8┬░F) and tachypnea (R 24) suggest atelectasis; turning, coughing, and deep breathing prevent respiratory complications. Antibiotics, dressing changes, and ambulation are secondary.