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    Ati med surg proctored exam (Renal and burn)
    Select All That Apply

    A nurse is preparing to care for a client after a full thickness chemical burn of the bilateral lower extremities. The nurse is aware that 3rd degree, full thickness burns affect which of the following? (Select all that apply.)

    Explanation & Rationale

    A. Dermal layers: Full-thickness (third-degree) burns destroy both the epidermis and the entire dermis. This results in loss of skin elasticity and protective functions, requiring surgical intervention for healing. B. Muscle layers: Muscle involvement typically indicates a deeper injury, such as a fourth-degree burn. Full-thickness burns do not usually extend beyond the subcutaneous tissue into muscle. C. Epidermal layers: The epidermis is completely destroyed in full-thickness burns, which eliminates the skin's barrier function and increases the risk of fluid loss and infection. D. Bone and ligaments: Bone and ligament damage occurs with extreme heat or electrical burns and is characteristic of fourth-degree burns, not third-degree injuries. E. Subcutaneous layers: Full-thickness burns extend through the dermis into the subcutaneous tissue, damaging fat and connective tissues and impairing temperature regulation and sensation.

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