The client has a large burned area on the right arm. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury?
A. Full-thickness
B. Partial-thickness superficial
C. Partial-thickness deep
D. Full-thickness deep
Correct Answer: C. Partial-thickness deep
Deep partial-thickness burns are pink or red in color, swollen, painful, with blisters that may ooze a clear fluid. Deep partial-thickness (second-degree) involves the deeper dermis. Healing occurs in 3 to 8 weeks with scarring present.
Option A: Third-degree involves the full thickness of skin and subcutaneous structures. It appears white or black/brown. With pressure, no blanching occurs. The burn is leathery and dry. There is minimal to no pain because of decreased sensation.
Option B: The characteristics of the wound meet the criteria for a superficial partial-thickness injury: color that is red; without blisters and pain present. Superficial (first-degree) involves the epidermis of the skin only. It appears pink to red, there are no blisters, and it is dry. It is moderately painful. Superficial burns heal without scarring within 5 to 10 days.
Option D: Blisters are not seen with full-thickness burns and are rarely seen with deep partial-thickness burns. Full-thickness burns heal by contracture and take greater than 8 weeks. Full-thickness burns require skin grafting.
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