When an 87-year-old female client has an oral temperature of 97.2 F (36.4 C), what should the nurse do?

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Prepare for the HESI Level 1 Exam with comprehensive quizzes and flashcards featuring hints and detailed explanations. Get exam-ready now!

In this scenario, documenting the temperature reading on the vital sign graphic sheet is an appropriate action because it reflects standard nursing practice to accurately record the patient's measurements. An oral temperature of 97.2 F (36.4 C) is within the normal range, especially considering the potential variability in temperature readings among older adults. Given that the reading is not indicative of a fever or an abnormality, it does not necessitate any immediate reporting to the healthcare provider or any urgent interventions.

Recording this temperature allows for continuity of care and tracking of the client's health status. It is essential for nurses to maintain accurate records, as these can inform future assessments and medical decisions. This action ensures that the clinical team has the necessary information to evaluate the client’s overall condition over time.

Instructing the UAP to take the temperature again in 30 minutes or advising the client to drink warm fluids would be unnecessary given the current reading, as there is no indication that corrective measures are required.

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