Upon responding to the client's call bell, the nurse discovers the client's wound has dehisced. Initial nursing management includes calling the physician and doing which of the following?
A) Covering the wound area with sterile towels moistened with sterile 0.9% saline
B) Closing the wound area with Steri-Strips
C) Pouring sterile hydrogen peroxide into the abdominal cavity and packing with gauze
D) Holding the wound together until the physician arrives
Ans: A
If dehiscence occurs, cover the wound area with sterile towels moistened with sterile 0.9% saline. The client should also be placed in the low Fowler's position, and the exposed abdominal contents should be covered as previously discussed. Notify the physician immediately because this is a medical emergency. Do not leave the client alone.
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