The Emergency Department (ED) nurse is assessing an 80-year-old patient who has superficial, partial-thickness and deep partial-thickness scald burns on bilateral anterior and posterior hands and forearms. The nurse estimates that the total body surface area (TBSA) burned is 27%. What should the nurse include in the emergent plan of care?

A. Burns involving both hands and forearms with 27% TBSA require fluid resuscitation and evaluation for specialized burn center care. B. Cleaning with soap is not recommended; gentle cleansing with sterile saline or water is preferred to prevent further tissue damage. C. Petroleum-based creams are generally avoided initially as they can trap heat and bacteria. D. Saline soaked gauze and medicated ointment may be used later but are not the priority in emergent care for large burns.