What action should a nurse take if a child presents with a burn larger than 10% of body surface area?

When a child presents with a burn covering more than 10% of their body surface area, it is critical to initiate fluid resuscitation immediately. This is due to the potential for significant fluid loss that can occur with larger burns, leading to hypovolemic shock if not properly managed. According to the guidelines for burn management, especially in children, timely fluid resuscitation is essential to maintain adequate blood volume and ensure proper perfusion of vital organs.

Fluid resuscitation helps to replace lost fluids and electrolytes, preventing complications associated with inadequate circulation. Keeping in mind the unique physiology of children, who can become dehydrated and hypovolemic more quickly than adults, the urgency of addressing this is paramount.

In contrast, while applying topical antibiotic ointment, administering pain relief, or performing wound debridement are important aspects of burn care, they are not the immediate priority when dealing with extensive burns. These interventions are critical but should follow the stabilization of the patient through appropriate fluid resuscitation to ensure the child's overall safety and well-being.