Care Manager Certification Practice Exam

Which findings indicate effective intervention for a client with a temperature of T 38° C (100.4)°F, oral?

1. BP 120/80 mm Hg, standing

2. R 24/min

3. HR 90/min

4. BP 106/60 mm Hg, supine

The correct answer is: BP 106/60 mm Hg, supine

The correct selection demonstrates an effective intervention for a client with a temperature of T 38° C (100.4)°F. In this context, the blood pressure reading of 106/60 mm Hg while in a supine position may suggest that the body's management of fluid volume and vascular resistance is stable, despite the presence of a mild fever. This can indicate that the client's overall hemodynamic state remains relatively stable, which is essential in evaluating the effectiveness of any interventions aimed at managing fever and ensuring proper circulation. In clients with fever, monitoring vital signs such as blood pressure is crucial, as fever can lead to changes in hemodynamics. The reading shows that the client may not be exhibiting signs of significant hypotension or shock, which could complicate the clinical picture. Stability in blood pressure with a supine reading is also a reassuring sign that the body is coping with the elevated temperature without excessive stress on the cardiovascular system. The other options present various vital signs. An elevated respiratory rate of 24/min could indicate some respiratory distress but does not necessarily imply ineffective management of the fever itself. A heart rate of 90/min is within normal limits, though at the higher end, and does not specifically denote a sign of effective intervention.