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Question
Tina, a resident, has an infection in her arm. Her physician prescribed the application of a moist cold compress for 15 minutes every four hours as part of her treatment. Miguel, a nursing assistant, prepared the moist cold compress as directed and applied it. After about five minutes, he asks Tina how it feels and she tells him it felt cold at first, but is just numb now. Miguel lifts the cold compress and notes that the skin under the compress has turned a bluish color. He looks up at Tina and sees that she is shivering. What should Miguel do?
1. Remove the compress, get her a blanket, and report that she experienced cyanosis
2. Remove the compress, get her a blanket, and report that she experienced blanching
3. Reapply the compress, but report that she experienced some discoloration
4. Reapply the compress, but get her a blanket to make her more comfortable.
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