What immediate intervention should a nurse implement for a client with hand edema and itching after using a new cleaning product?

• A. Apply cool compresses to both hands
• B. Administer antihistamines
• C. Apply hydrocortisone cream
• D. Wash hands with soap and water

Answer: (A)

In the scenario presented, the appropriate immediate intervention is to apply cool compresses to both hands. This approach is particularly effective for alleviating symptoms of hand edema and itching, as the coolness can provide relief from inflammation and soothe the skin.

When someone experiences localized swelling and itching, applying a cool compress helps constrict blood vessels, which can reduce swelling and provide comfort. Additionally, the coolness can help numb the affected area, offering symptomatic relief from itching, which may result from a mild allergic reaction or irritation caused by the new cleaning product.

Other interventions, while potentially beneficial, are not the first line of action in this immediate context. For instance, administering antihistamines might be appropriate if there is a suspected allergic reaction; however, this step may not provide immediate relief compared to the soothing effect of cool compresses. Similarly, applying hydrocortisone cream can help reduce inflammation and itching but could take longer to have an effect. Washing hands with soap and water could help remove irritants or allergens, but in the case where swelling and intense itching are already present, cooling the area first is a more immediate and effective measure to alleviate discomfort.