Through nonshivering thermogenesis: Brown adipose tissue
infants are at risk for cold stress due to decreased adipose tissue and they don't have the ability to generate heat by shivering
Signs of cold stress: decreased temp, altered mental status, bradycardia, hypoxia, hypotonia, and a weak cry and/or suck
A nurse is starting a new shift and is reviewing the chart of a client who had coronary artery bypass surgery 5 days ago. Which actions are appropriate for the nurse to take? Select all that apply. Click on the exhibit button for additional information.
Exhibit:
Vital signs
Temperature: 98.9 F (37.2 C)
Blood pressure: 110/70 mm Hg
Pulse: 62/min, irregular
Respirations: 16/min, unlabored
Laboratory results
2 days ago
Hematocrit 32%
(0.32)
Hemoglobin 10.3 g/dL (103 g/L)
Red blood cells 3.9 million/mm3 (3.9 x 1012/L)
White blood cells 5,500/mm3 (5.5 x 109/L)
Platelets 300,000/mm3 (300 x 109/L)
Today
Hematocrit 34% (0.34)
Hemoglobin 11 g/dL (110 g/L)
Red blood cells 4.2 million/mm3 (4.2 x 1012/L)
White blood cells 8,000/mm3 (8.0 x 109/L)
Platelets 150,000/mm3 (150 x 109/L)
Medication administration record
Allergies: None
Medications
Aspirin: 81 mg orally, daily
Captopril: 25
mg orally, daily
Heparin: 5,000 units subcutaneous, every 12 hours
Metoprolol: 100 mg orally, daily
1. Anticipate heparin prescription to be changed to enoxaparin
2. Hold the heparin and notify the health care provider of the platelet count
3. Hold the metoprolol and notify the health care provider of the pulse rate
4. Perform a complete neurovascular assessment of the client
5. Review the cardiac rhythm on the monitor