A patient who has just undergone a colon resection complains to a nurse that he felt something pop under his dressing while trying to get out of bed. The nurse removes the dressing and finds that dehiscence of the wound has occurred

What nursing action should be implemented first? a. Replace the dressing; dehiscence is nor-mal.
b. Call the physician.
c. Pull the wound edges together and replace the dressing.
d. Cover the wound with sterile dressings saturated with normal saline.


D
The first action of the nurse should be to cover the wound with saline-saturated dressings to pre-vent damage of the exposed organs from drying and then to call the physician.

Nursing

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The nurse is assessing the older adult client. As the nurse completes the nursing care plan for the client, which of the following places the client at risk for infection? Standard Text: Select all that apply

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The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert, but has dry mucous membranes. Which other sign indicates that the infant still is in the early or mild stage of dehydration?

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