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    Health assessment (chamberlain university)

    A nurse is caring for a client with a temperature of 103.6 °F. Which finding should the nurse expect upon inspection of the skin?

    Explanation & Rationale

    Choice A reason: Edema refers to swelling caused by fluid accumulation in tissues. It is not a typical finding associated with fever. Edema is more commonly linked to conditions such as heart failure, kidney disease, or localized inflammation, rather than systemic hyperthermia. Choice B reason: Erythema, or redness of the skin, is expected with fever because elevated body temperature causes vasodilation of superficial blood vessels. This increased blood flow to the skin helps dissipate heat, resulting in flushed or reddened skin. This is the most consistent finding in a client with a high fever. Choice C reason: Pallor refers to paleness of the skin, often caused by decreased blood flow, anemia, or shock. It is not a typical finding in fever, as fever generally causes vasodilation rather than vasoconstriction. Choice D reason: Cyanosis is a bluish discoloration of the skin due to inadequate oxygenation of the blood. It is associated with respiratory or cardiac compromise, not fever. Cyanosis would indicate hypoxemia rather than hyperthermia.

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