A nurse reviews the following data in the chart of a client with burn injuries:
Admission Notes
Wound Assessment
36-year-old female with bilateral leg burns
NKDA
Health history of asthma and seasonal allergies
Bilateral leg burns present with a white and leather-like appearance. No blisters or bleeding present. Client rates pain 2/10 on a scale of 0-10.
Based on the data provided, how should the nurse categorize this client's injuries?
a.
Partial-thickness deep
b.
Partial-thickness superficial
c.
Full thickness
d.
Superficial
ANS: C
The characteristics of the client's wounds meet the criteria for a full-thickness injury: color that is black, brown, yellow, white, or red; no blisters; minimal pain; and firm and inelastic outer layer. Partial-thickness superficial burns appear pink to red and are painful. Partial-thickness deep burns are deep red to white and painful. Superficial burns are pink to red and are also painful.
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