The nurse is caring for a patient who has developed an increased temperature during the first 24 hours postoperatively. Which action should the nurse take?
a. Restrict oral fluids.
b. Give antipyretic medication.
c. Encourage coughing and deep breathing.
d. Provide passive range of motion exercises.
ANS: C
Usually, increased temperature during the first 24 hours postoperatively indicates atelectasis if no other cause exists, so coughing and deep breathing should be encouraged to open the alveoli and prevent pneumonia. D. Range of motion exercises will not affect the temperature. B. Antipyretic medication does not affect the cause. A. Fluids should be encouraged as ordered, as dehydration can increase temperature.
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