medium · NCLEX-RN Pharmacological and Parenteral Therapies
The RN is monitoring a client receiving chimeric antigen receptor (CAR) T-cell therapy. The client's temperature has risen from 37.0°C to 38.5°C in two hours.
Which interpretation by the nurse is most accurate based on the clinical judgment cycle?
- The nurse should administer acetaminophen and reassess in four hours.
- The fever is likely due to an underlying neutropenic infection and requires immediate antibiotics.
- The finding represents a potential onset of cytokine release syndrome (CRS) requiring escalation.
- This is an expected inflammatory response to cell lysis and requires only routine monitoring.
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