medium · NCLEX-RN Safety and Infection Prevention and Control

A nurse is caring for a client with a radioactive cervical implant.

Which vital sign change would be the most concerning and requires immediate RN assessment?

  1. Heart rate of 92 beats per minute.
  2. Temperature of 101.4circ F (38.6circ C).
  3. Blood pressure of 138/88 mm Hg while the client is resting.
  4. Oxygen saturation of 95% on room air.

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