The nurse is admitting a 25-year-old patient to the emergency department with partial-thickness injuries over 20% of the total body surface area, involving both lower legs
According to American Burn Association (ABA) guidelines, the nurse would classify this as which level of burn? 1. Minor
2. Major
3. Moderate
4. Severe
3
Rationale 1: A minor burn is a partial-thickness injury that involves less than 15% of total body surface area (TBSA) in adults.
Rationale 2: A major burn is a partial-thickness injury that involves more than 25% of total body surface area in adults (TBSA) or a full-thickness injury over 10% or more of TBSA.
Rationale 3: A moderate injury is a partial-thickness injury that involves between 15% and 25% of total body surface area in adults.
Rationale 4: Severe is not a classification used by the ABA.
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An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments such as liners and protective pants
Which suggestion would be most appropriate to help the client maintain skin integrity? A) Avoiding the application of moisture sealant B) Exposing the affected area to air C) Using scented sprays or perfumes D) Avoiding using an electric room deodorizer