The Nurse Observes a Thick, Dark Brown Covering Over a Large

The nurse observes a thick, dark 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 brown covering has been removed