The Pearl to take from this story, “Be aware of the rhythm of the patients you work with, whether in the oncology, medical-surgical, surgery, inpatient or outpatient.” Even if you are not quite sure what is clinically wrong, trust your past history with a certain patient population to guide your assessment.
It is not unusual for gynecologic patients to have a mild temperature elevation during the first 72 hours post-operatively. Ruble gives nursing alerts about post-operative fever that should help guide