A client is 6 hours post-open cholecystectomy. The nurse notes the client's temperature is 38.8°C (101.8°F), blood pressure is 100/60 mmHg, heart rate is 98 beats/min, and respirations are 20 breaths/min. Which action should the nurse take?

Question: A client is 6 hours post-open cholecystectomy. The nurse notes the client's temperature is 38.8°C (101.8°F), blood pressure is 100/60 mmHg, heart rate is 98 beats/min, and respirations are 20 breaths/min. Which action should the nurse take?

Answer options:

• Administer a prescribed antipyretic.
• Encourage deep breathing and coughing exercises. ✅ Notify the healthcare provider immediately.
• Provide a warm blanket for comfort.

Correct answer: Notify the healthcare provider immediately.

Explanation: A temperature of 38.8°C (101.8°F) within 6 hours post-op can indicate an infection, atelectasis, or other serious complications, requiring immediate assessment and intervention by the healthcare provider. While antipyretics may be used, and deep breathing is important, the priority is to identify the underlying cause of the fever.