When assessing zone of coagulation of a third-degree burn injury, the nurse would be alert for:
1. The presence of pain
2. Brisk capillary refill
3. Surface of the wound that is dry and firm
4. A bright red wound color
3
Rationale 1: There is no pain sensation in this zone because the nerve endings have been destroyed.
Rationale 2: Capillary refill is minimal to nonexistent with a third-degree burn.
Rationale 3: The surface of a third-degree burn is dry, firm, and may have a leathery feel.
Rationale 4: The second-degree superficial burn wound is often bright red in color, but with a third-degree burn the color is dark. There may be a hard crust that forms over the necrotic tissue (eschar).
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