What is the priority nursing intervention for a client with multiple myeloma presenting with fever?

The priority nursing intervention for a client with multiple myeloma presenting with fever involves administering an antipyretic and notifying the care team. This approach is crucial because fever in patients with multiple myeloma can indicate an infection, which is a common complication due to immunosuppression associated with the disease and its treatments. Administering an antipyretic helps reduce the fever and controls discomfort while also supporting the patient's overall stability.

Notifying the care team is essential for ensuring that further assessments and interventions can be initiated promptly, such as obtaining cultures, starting antibiotics if needed, and further evaluating the source of infection. This collaborative response helps prevent complications that can arise from infections in these vulnerable patients.

While increasing fluid intake, scheduling a blood culture, and performing a chest X-ray may be important later actions, they do not address the immediate need to reduce fever and manage potential infections effectively. Treating the fever and ensuring the medical team is informed is the necessary first step in managing the patient's condition comprehensively.