For a patient with a second-degree burn from hot coffee on her thigh, what is the appropriate immediate care?

For a patient with a second-degree burn, the immediate care involves minimizing further injury and protecting the burn from infection, which makes applying a dry sterile dressing the appropriate choice. A second-degree burn is characterized by damage that affects both the epidermis and part of the dermis, leading to symptoms such as pain, swelling, and blistering.

Covering the area with a dry sterile dressing helps to protect the wound from contaminants and further trauma while allowing for some moisture to escape, which is essential in the healing process. This method reduces the risk of infection and soothes the painful area by preventing direct contact with clothing and other potential irritants.

Other approaches, such as applying topical antibiotic ointments or wet dressings, could introduce additional moisture or other substances that might aggravate the burn or lead to infection if not properly managed. Applying ice directly to the burn can also cause further tissue damage and increase the risk of complications, as extreme cold can harm already sensitive skin in the affected area. Overall, using a dry sterile dressing balances protection for the wound and promotes appropriate healing without introducing new risks.