NursingPlex
    Sign In
    Ati med surg proctored exam (Renal and burn)

    A nurse is caring for a client with a burn injury. Which assessment findings by the nurse would indicate a deep partial-thickness burn?

    Explanation & Rationale

    A. Skin has a leathery and dry: This description is characteristic of full-thickness (third-degree) burns where the skin loses elasticity and becomes firm and leathery due to extensive tissue damage. B. Skin is intact, dry, and red in color: These findings suggest a superficial burn, such as a first-degree burn (e.g., sunburn), where only the epidermis is affected and no blistering or weeping is seen. C. Skin is red, blanches, and weeps: Deep partial-thickness burns involve the epidermis and deeper portions of the dermis. They present with redness, blistering, moisture (weeping), and blanching with pressure, indicating viable capillary flow. D. Skin is waxy in appearance: A waxy, white, or charred appearance is more typical of full-thickness burns. These burns are often insensate and may not blanch due to destruction of nerve endings and vasculature.

    🔒 Submit your answer to reveal