Nursing fundamentals · practice question
A 76-year-old client in a long-term care facility is being evaluated for nursing care related to sleep and rest. Assessment data include temperature 100.8°F (38.2°C) with rigors and chills. Which finding requires the nurse to intervene immediately?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals
Answer and explanation
Correct answer
D. The new finding that temperature 100.8°F (38.2°C) with rigors and chills.
Why
Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
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