A 78-year-old man is admitted to the hospital for community-acquired pneumonia. His daughter reports that he has been more confused than usual for the past two days and has had two episodes of urinary incontinence, which is new for him. His vital signs are temperature 38.6°C (101.5°F), heart rate 104 bpm, respiratory rate 24 breaths/min, and oxygen saturation 91% on room air. Which action should the nurse take first?
- Obtain a urine sample to test for a urinary tract infection
- Ask the daughter about the client's baseline cognitive function
- Apply supplemental oxygen and reassess oxygen saturation
- Administer the prescribed antipyretic for the elevated temperature