Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
The nurse is monitoring a client who is 3 hours postpartum with a temperature of 102.4┬░F.Which action should the nurse prioritize?
Correct answer
D
Rationale
A temperature of 102.4┬░F postpartum suggests possible infection, requiring immediate notification of the RN and provider to identify the source. Monitoring further (A) delays care, antipyretics (B) mask symptoms, and ambulation (C) is irrelevant.