HESI RN Med surg adult health proctored exam
The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the nurse document?
Explanation & Rationale
Choice A reason: Deep partial-thickness burns are characterized by blisters and significant pain.Choice B reason:The correct answer is b) because full-thickness burns involve all layers of the skin and can extend into underlying tissues. They often appear brown or yellow and are usually painless due to nerve damage.Choice C reason: Superficial partial-thickness burns affect the epidermis and part of the dermis, causing pain and redness.Choice D reason: Deep full-thickness burns are also a possible answer, but full-thickness better describes the extent and characteristics given.
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