A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of Your injury What percentage of body surface area should the nurse estimate the client has burned?

Choice A rationale: While impaired tissue perfusion can affect activity tolerance, addressing the underlying perfusion issue takes precedence.
Choice B rationale: Varicose veins with ulcerations and lower extremity edema suggest impaired tissue perfusion. The compromised blood flow can lead to poor oxygenation and nutrient delivery to tissues, increasing the risk of ulceration and delayed wound healing.
Choice C rationale: Impaired tissue perfusion contributes to impaired skin integrity, but it is not the primary issue.
Choice D rationale: While varicose veins can impact body image, addressing impaired tissue perfusion is more critical for the client's overall well-being.

Choice A rationale: Transparent dressings are commonly used for stage I pressure ulcers as they provide a protective barrier against external contaminants while allowing for visualization of the wound. This type of dressing helps maintain a moist environment to facilitate healing.
Choice B rationale: Hydrogel dressings are typically used for wounds with necrotic tissue or those that require a moist environment. They may not be the first choice for a stage I pressure ulcer with intact skin.
Choice C rationale: Wet-to-dry dressings are often used for wounds with debris or infection. They involve placing moist gauze into the wound and allowing it to dry, promoting debridement. This is not suitable for an intact stage I pressure ulcer.
Choice D rationale: Alginate dressings are absorbent and are more appropriate for wounds with moderate to heavy exudate. They may not be necessary for a stage I pressure ulcer with minimal or no exudate.