While dangling a patient in preparation for ambulation after surgery the abdominal incision suddenly eviscerates. What action should the nurse take after positioning the patient supine with flexed knees?
a. Cleanse the abdomen.
b. Administer pain medication.
c. Apply an abdominal binder securely.
d. Apply sterile saline-moistened dressings.
ANS: D
After placing the patient in the low Fowler's position with the knees flexed the nurse should cover the wound with sterile dressings or towels moistened with warm sterile normal saline. Notify the physician immediately of this surgical emergency. Apply gentle pressure over the wound, and keep the patient still and calm. A. The abdomen should not be cleansed. B. Pain medication can be provided after the immediate problem is addressed. C. An abdominal binder should not be applied at this time.
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