Which of the following nursing actions should the nurse plan for a patient returning from the intensive care unit after cardiac surgery? (Select all that apply.)
a. Connect the patient to a cardiac monitor.
b. Place the patient in a cool environment.
c. Assist in head-to-toe data collection.
d. Palpate chest and neck for signs of crepitus.
e. Note any patient shivering.
f. Assess breath sounds every shift.
ANS: A, C, D, E, F
All but B are done. The patient will likely be cool from surgery and need warming.
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