A pediatric patient with multiple myeloma who is receiving chemotherapy has a body temperature that has risen three degrees during the six-hour period and is now 102.2 °F. The nurse should:
  1. Administer antipyretic as prescribed and notify the physician
  2. Obtain the other vital signs and recheck the temperature in an hour
  3. Assess the amount and color of urine and obtain a specimen for urinalysis
  4. Note the consistency of respiratory secretions and obtain a specimen for culture
Explanation
Answer - A - The nurse should administer antipyretic as prescribed and notify the physician. An elevated body temperature increases metabolic demands and the pyrexia must be treated immediately; the physician must be notified because the patient is immunocompromised, from both the disease and the chemotherapy.
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