A client has the following vital signs: temperature 101.4 degrees F, blood pressure 88/54, pulse 128 beats/minute, and respirations 34 breaths/minute. Physician orders are shown in the accompanying chart. The nurse first intervenes by
a) Increasing DRLR to the prescribed rate
b) Providing acetaminophen for the elevated temperature
c) Obtaining the blood cultures
d) Administering the Vancomycin
Answer: A
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