The nurse is caring for a patient with full-thickness burns to their right arm. What characteristics of this type of burn does the nurse anticipate to find during the skin assessment?
Explanation & Rationale
A. Red and painful: Redness and pain are typically associated with superficial (first-degree) burns, where only the epidermis is affected. Full-thickness burns extend through the entire dermis and often destroy nerve endings, so pain may be minimal or absent in the burn area. B. Pink and sensitive: Pink, sensitive skin is characteristic of superficial partial-thickness burns, which involve the epidermis and part of the dermis. These burns usually blanch with pressure and are extremely tender, unlike full-thickness burns that appear leathery. C. Blistering and weeping: Blistering and exudation are features of partial-thickness (second-degree) burns, where the epidermis is damaged and dermal capillaries leak fluid. Full-thickness burns destroy these layers, so blisters are typically absent, and the wound appears dry. D. Blackish brown, and leathery: Full-thickness burns involve all layers of the skin, including the epidermis, dermis, and sometimes underlying tissue. They present as dry, firm, leathery areas that may be black, brown, or white, and are often painless due to nerve destruction, which is consistent with the classic presentation of a full-thickness burn.