Thermoregulation Case Study


You are a school nurse working in a middle school.  A 12-year old boy comes in saying he missed his bus so he walked to school in the sub-zero cold.  He tells you he didn’t realize how cold it was and didn’t wear his hat or gloves.  He says his hands are numb and he can’t stop shivering. You look at him, and see that his nose and the edges of his ears are very red.  You know you need to work quickly to complete further assessment and implement nursing interventions. 


  1. What three concerns do you have?  What are the warning signs of each?
       2. What nursing assessments will you make?
  1. What nursing interventions do you need to implement?