A client sustains a first degree sunburn on the chest, back, face, and arms. What is the nurse's PRIMARY concern?

A. Infection control: First-degree burns involve only the epidermal layer of the skin and usually present with redness, tenderness, and mild swelling without blister formation. Because the skin barrier remains largely intact, the risk of infection is relatively low compared with deeper burns. Infection control remains important but is not the primary concern for superficial burns. B. Altered body image: Altered body image can occur with visible skin injuries, particularly if burns affect exposed areas such as the face or arms. However, first-degree burns typically heal within several days without scarring or long-term cosmetic changes. Psychological concerns related to appearance are therefore not the immediate priority in the acute stage of injury. C. Pain management: First-degree burns cause significant discomfort due to inflammation and irritation of sensory nerve endings in the epidermis. Symptoms such as redness, warmth, and tenderness are common, and the affected areas may be very sensitive to touch. Effective pain management is the primary nursing concern to improve comfort and reduce the stress response associated with acute burn injury. D. Fluid resuscitation: Fluid resuscitation is typically required for more severe burns, such as second-degree or third-degree burns that involve large body surface areas and significant damage to the dermis. First-degree burns do not cause substantial fluid loss or capillary leakage. Therefore, aggressive fluid replacement is not usually necessary in this situation.