When assessing a burn, nurses should follow the ABCDE approach (Airway, Breathing, Circulation, Disability, and Exposure) to ensure comprehensive evaluation. - Airway: Check for inhalation injury, especially in burns involving the face or neck. - Breathing: Assess respiratory rate and oxygen saturation. - Circulation: Monitor vital signs and check for signs of shock. - Disability: Evaluate the patient’s level of consciousness. - Exposure: Examine the extent and depth of burns, and remove any constrictive clothing or jewelry.
