You are caring for a young woman with a local cold injury to her hands. Your assessment reveals that her hands are hard to the touch, mottled, cold, and without sensation. Her body temperature is 96.3°F per tympanic thermometer. Your estimated transport time to the hospital is 45 minutes. The MOST appropriate treatment for this patient includes:
A) preventing further loss of body heat; protecting her hands from injury with dry, bulky dressings; and transporting without delay.
B) applying chemical heat packs to her axilla and groin, rapidly rewarming her hands with hot water, bandaging her hands, and transporting.
C) starting an IV and infusing warm normal saline, having her place her hands in her armpits to keep them warm, and transporting as soon as possible.
D) immersing her hands in water that is between 95°F and 104°F, starting an IV and administering fentanyl, bandaging her thawed hands, and transporting.
Answer: A) preventing further loss of body heat; protecting her hands from injury with dry, bulky dressings; and transporting without delay.
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