Seventy-two hours after cardiac surgery,a young child has a temperature of 37.7°C.What should the nurse do?
A) Keep the child warm with blankets.
B) Apply a hypothermia blanket.
C) Record the temperature on the nurses' notes.
D) Report these findings to the physician.

Question

Quizplus · Accepted Answer

In the first 24 to 48 hours after surgery,the body temperature may increase to 37.7°C (100°F)as part of the inflammatory response to tissue trauma.If the temperature is higher or continues after this period,it is most likely a sign of infection,and immediate investigation is indicated.Blankets should be removed from the child to keep the temperature from increasing.A hypothermia blanket is not indicated for this level of temperature.The temperature should be recorded,but the physician must be notified for evaluation.

Seventy-Two Hours After Cardiac Surgery,a Young Child Has a Temperature