The nurse is supervising the care of a patient with second-degree frostbite. Which action by the student nurse prompts the nurse to intervene with further instruction?

Tightly wraps the warmed affected extremity starting distally and moving proximally. The frostbitten limb will swell as it warms and the inflammatory process begins. Therefore, the limb should be covered loosely, not wrapped tightly. The patient’s pain should be well-controlled during the warming process. Warm water between 40° C and 42° C is used to warm the affected limb. Massaging the limb will cause tissue damage; the mother should be gently redirected away from this action.

The nurse is supervising the care of a patient with second-degree...

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Physiological Adaptation
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Category: Physiological Adaptation
Difficulty: 9

Topics: Communication & Documentation Inflammation Patient Education Tissue Integrity

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