A patients burns have required a homograft. During the nurses most recent assessment, the nurse observes that the graft is newly covered with purulent exudate. What is the nurses most appropriate response?
A) Perform mechanical dbridement to remove the exudate and prevent further infection.
B) Inform the primary care provider promptly because the graft may need to be removed.
C) Perform range of motion exercises to increase perfusion to the graft site and facilitate healing.
D) Document this finding as an expected phase of graft healing.
Correct Answer:
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