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 nurse's most appropriate intervention?
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. There is no need to reinforce the Biobrane nor to remove it and apply a new dressing. There is not likely any need to notify the physician for further orders.
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