A victim of a knife fight is found lying in a parking lot with a loop of bowel protruding from an abdominal wound. The first responder should:

a. attempt to replace the bowel back into the abdomen.
b. wrap the victim's shirt tightly around his body.
c. cover the evisceration with a plastic shop-ping bag.
d. assist the victim to flex his thighs against his abdomen.


C
Covering evisceration with a nonadhesive covering will keep the bowel moist. Attempts to return the bowel into the abdomen may result in further injury. Tightly wrapping the shirt around the body may compromise circulation. Flexion of the thighs onto the abdomen may compress and cause further damage to the bowel.

Nursing

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A 28-year-old patient is to receive a dose of lorazepam intravenously for sedation during a procedure. The nursing priority would be to assess for which of the following?

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Nursing