Author Question: A nurse is caring for a client with hypothermia and frostbite of the nose and fingers. Which action ... (Read 149 times)

shenderson6 · **on:** Jun 25, 2018

A nurse is caring for a client with hypothermia and frostbite of the nose and fingers. Which action by the nurse is inappropriate for this client?

A) Massage frostbite areas to rewarm them and increase circulation.
B) Rapidly rewarm affected areas in circulating warm water.
C) Keep the client on bedrest with the affected parts elevated.
D) Debride blisters.

Question 2

A nurse working in labor and delivery is aware that newborns have several physiologic mechanisms that increase heat production to prevent hypothermia. What is true regarding newborn thermogenesis?

A) Shivering occurs when skin receptors perceive a drop in the environmental temperature and transmit sensations to stimulate the sympathetic nervous system.
B) Shivering thermogenesis uses the newborn's stores of brown fat to provide heat.
C) Brown fat produces heat generation, and heat transfer to the peripheral circulation.
D) The extra muscular activity by the infant in cold stress produces a large amount of body heat.

yasmin · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

A nurse should never massage frostbite areas, as this action will further damage necrotic tissue. All other choices are appropriate nursing interventions for a client with frostbite.

Answer to Question 2

Answer: C

In the infant, non-shivering thermogenesis (NST) occurs when skin receptors perceive a drop in the environmental temperature and transmit sensations to stimulate the sympathetic nervous system. NST uses the newborn's stores of brown fat to provide heat. Brown fat produces heat generation, and heat transfer to the peripheral circulation. The extra muscular activity by the infant in cold stress does not produce body heat.