What should the nurse initially do for frostbitten toes upon arrival?

What should the nurse initially do for frostbitten toes upon arrival?

• A. Remove any wet or constricting clothing.
• B. Initiate a controlled and rapid rewarming with warm water.
• C. Wrap each toe individually with sterile gauze.
• D. Encourage the client to walk.

Answer: (A)

Removing wet or constricting clothing is the priority because frostbite injury continues while the tissue is exposed to cold and moisture. Wet fabrics conduct heat away from the body much faster than dry ones, and anything tight can impede circulation, worsening ischemia. Taking off wet clothes and freeing constrictions quickly stops further cooling and sets the stage for safe rewarming. After this, the next steps involve gradual rewarming in warm water (about 37–39°C) and protecting the area with dry dressings, while avoiding rubbing or walking on the affected toes. Wrapping with gauze can help protect the tissue, but it doesn’t address the immediate need to remove moisture and constriction first, and encouraging walking would risk further injury.