A Patient Is Being Admitted to the Intensive Care Unit

A patient is being admitted to the intensive care unit after cardiac surgery. Which nursing actions should the nurse include in this patient's plan of care? (Select all that apply.)

A) Note any patient shivering.
B) Assess breath sounds every shift.
C) Assist in head-to-toe data collection.
D) Place the patient in a cool environment.
E) Connect the patient to a cardiac monitor.
F) Palpate chest and neck for signs of crepitus.