The Nurse Observes a Thick,tannish-Brown Covering Over a Large Wound

The nurse observes a thick,tannish-brown covering over a large wound and needs to stage the wound.What action by the nurse is most appropriate?

A) Removing this covering with a sterile forceps and scissors
B) Filling the base of the patient's ulcer with a silicone lotion
C) Placing a hydrocolloid dressing directly over the tannish-brown covering
D) Deferring staging until the tannish-brown covering has been removed

Correct Answer:

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