What should the nurse do first when caring for a person with partial- and full-thickness burns from a car fire?

In the context of caring for a person with partial- and full-thickness burns, wrapping the person in a clean, dry sheet is the most immediate and appropriate action to take. This intervention serves to protect the affected areas while minimizing exposure to contaminants that can lead to infection. The use of a clean sheet also helps to maintain a degree of body temperature, which is crucial in the initial care of burn patients.

Burn injuries can lead to significant fluid loss and hypothermia; hence, the need to cover the individual appropriately is essential. A clean sheet creates a barrier to debris and pathogens without introducing further trauma or irritation to the burned skin, which is essential for wound care.

While covering the person with a warm blanket is important for maintaining body temperature, the priority in this instance is to protect the burn area initially. Likewise, applying sterile dressings should happen after obtaining a clean covering, which will prevent contamination more effectively. Removing clothing is only appropriate if it is not stuck to the burns; otherwise, it can cause damage to the affected areas. Thus, prioritizing the application of a clean sheet balances the need for protection and initial management of the burns.