The nurse is assessing a client's postoperative wound and finds it has separated from the suture line with extrusion of the bowel through the opening. When documenting this finding, which term will the nurse use?
1. Wound infection
2. Wound dehiscence
3. Wound evisceration
4. Wound tunneling
Correct Answer: 3
Wound evisceration is separation of the wound with internal organs and tissues visible through the opening. Wound dehiscence is separation of the suture line without visible organs or tissues. Wound infection is inflammation, redness, and/or drainage from the wound. Wound tunneling is small channels within the wound.
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