A patient has sustained a partial-thickness burn of 28% of total body surface area (TBSA) and full-thickness burn of 30% or greater of TBSA. How should the nurse classify this burn injury?
1. major
2. moderate
3. minor
4. superficial
Correct Answer: 1
Partial-thickness burn injuries of greater than 25% of TBSA in adults and full-thickness injuries 10% or greater of TBSA are considered major burn injuries. Moderate burn injuries comprise partial-thickness burns of 15%–25% of TBSA in adults and full-thickness injuries greater than 10% of TBSA not involving ears, eyes, face, hands, feet, and perineum. Minor burn injuries comprise partial-thickness burns of less than 15% of TBSA in adults and full-thickness injuries less than 2% of TBSA not involving ears, eyes, face, hands, feet, and perineum. First-degree (superficial) burns affect only the epidermis, or outer layer of skin. The burn site is red, painful, dry, and with no blisters. Mild sunburn is an example.
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