The client complains of tingling and numbness on the skin under the cold compress. Which should the nurse implement?
1. Reassure client that some numbness is expected.
2. Assess the client before continuing the treatment.
3. Discontinue treatment because of tissue damage.
4. Provide a warm blanket for the client's treatment.
2
2. Sensation in the affected region changes during cold therapy. The first sensation felt by the client is cold, then analgesia, burning skin pain, and numbness. Tingling is often associated with numbness as an indication of nerve impairment, so the nurse assesses the client before continuing therapy. The client's skin potentially benefits from passive rewarming and another nursing assessment to rule out tissue damage.
1. The nurse avoids numbness in the affected region because it is associated with an increased risk of adverse effects from cold therapy. The nurse wants the client to feel the cold and analgesic phases of cold therapy sensations.
3. The nurse assesses the tissue before discontinuing the cold therapy.
4. Providing a blanket is a reasonable intervention as cold therapy begins to prevent shivering; however, although shivering consumes massive amounts of oxygen, the blanket is unlikely to affect sensation of tissue treated with ice therapy.
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