Final answer:
A client with an axillary temperature of 102.6 F (39.2°C) might experience chills, headaches, increased heart rate, sweating, muscle aches, dehydration, and potential confusion. This is due to the body's response to increased temperature.
Step-by-step explanation:
A client with an axillary temperature of 102.6 F (39.2°C) is experiencing a significant fever. With such a fever, it can be anticipated that the client might show several clinical manifestations, which could include:
- Chills and shivering as the body's attempt to increase its core temperature
- Headaches from the body's inflammatory response
- Increased heart rate (tachycardia) as the metabolic demand rises
- Sweating as the body tries to cool down
- Muscle aches and general malaise further signaling inflammation and immune activation
- Dehydration, which can occur as the body loses fluid through sweating and increased respiratory rate
- Altered mental state or confusion, particularly in extreme fevers or the elderly
The nurse should monitor these symptoms as well as vital signs and hydration levels, provide supportive care, and address the underlying cause of the fever.