Which finding would the nurse expect when assessing a full thickness wound?
A) Dermis remains intact.
B) Epidermis remains intact.
C) Epidermis and full thickness of dermis is destroyed.
D) Only epidermis is destroyed.
C) Epidermis and full thickness of dermis is destroyed.
Explanation: A) When the epidermis and all or a portion of the dermis stays intact, it is called a partial thickness wound.
B) When the epidermis remains intact, it is neither a partial thickness nor full thickness. The epidermis is the top portion of visible skin.
C) A full thickness wound is one in which the epidermis and the entire thickness of the dermis, possibly extending into subcutaneous tissue, muscle, and bone, are lost or destroyed.
D) When the epidermis only is destroyed, it is a partial thickness wound.
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