A patient is 1 day postoperative following abdominal surgery. The patient calls the nurse to the room because she feels "something gave way" on her incision
The nurse assesses the incision and discovers that the wound is open with a loop of intestine protruding from the wound. What action should the nurse take?
A) Cover the wound with sterile gauze soaked in normal saline and call the physician.
B) Cover the wound with Steri-Strips.
C) Apply an abdominal pad over the wound.
D) Pour Betadine into the wound and call the physician.
Ans: A
Feedback: When the disruption of a wound occurs, the patient is placed in low-Fowler's position and instructed to lie quietly. The wound is covered in gauze soaked in sterile normal saline and the physician is called.
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