A client is admitted to the emergency department complaining of the inability to feel the hands and feet after waiting for 2 hours for transportation in 20 °F weather. Which action by the nurse is appropriate?
A) Warm the hands and feet in 104 °F water for 20 to 30 minutes.
B) Provide an antipyretic.
C) Rub and massage the hands and feet.
D) Warm the hands and feet in tepid water for 2 hours.
Answer: A
The client's inability to feel his hands and feet after spending 2 hours in 20 °F weather would indicate the client is experiencing frostbite. Rapid thawing decreases tissue necrosis and should be done by warming the hands and feet in 104 °F water for 20 to 30 minutes. The hands and feet should not be rubbed. Tepid water will not rapidly warm the hands and feet. Antipyretics would be indicated for a fever.
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