A patient with a partial-thickness burn injury had Biobrane applied 2 weeks ago. The nurse notices that the Biobrane is separating from the burn wound. What is the appropriate nursing intervention when this separation occurs?
A) Reinforce the Biobrane dressing with another piece of Biobrane.
B) Remove the Biobrane dressing and apply a new dressing.
C) Trim away the separated Biobrane.
D) Notify the physician for further emergency related orders.
Ans: C
Feedback: As the Biobrane gradually separates, it is trimmed, leaving a healed wound. When the Biobrane dressing adheres to the wound, the wound remains stable and the Biobrane can remain in place for 3 to 4 weeks. You would not reinforce the Biobrane, or remove it and apply a new dressing. Nor would you notify the physician for further orders.
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