A student nurse is caring for an adolescent with frostbite of the ...

[dakota nelson]

A student nurse is caring for an adolescent with frostbite of the hand in the emergency department. Which action by the student would require the registered nurse to intervene?
 
  A.
  Applies warm blankets to the child
  B.
  Has the teen wear a warmed gown
  C.
  Rubs patient's fingers to warm them
  D.
  Takes teen's watch off of his wrist

Question 2

Paramedics bring a child to the emergency department with possible hypothermia. He walked to school without a coat and upon arrival he is noted to be shivering, nauseated, and uncoordinated.
 
  After removing the child's clothing, what nursing intervention does the nurse plan to implement?
  A.
  Administer rapid IV boluses.
  B.
  Apply a Bair Hugger.
  C.
  Cover the child with warm blankets.
  D.
  Start dialysis with warmed solution.

[jlaineee]

Answer to Question 1

ANS: C
A frostbitten area is never rubbed or massaged, as the ice crystals in the capillaries will damage the tissue when they break out of the vascular beds. Warm blankets and gown are appropriate for general re-warming measures. The watch (and any rings) should be removed in case of swelling.

Answer to Question 2

ANS: C
These are manifestations of mild hypothermia in which the child's temperature will be 35-37 C (95-98.6 F). After removing the cold and/or wet clothing, the nurse covers the child with warm blankets and administers warmed O2 and warmed IV solutions. Rapid IV boluses are not indicated. The Bair Hugger would be used in more severe hypothermia, as would dialysis.

[dakota nelson]

Correct answers!

[jlaineee]

Great! Please up vote