A 50-year-old male client with a history of colorectal cancer has recently undergone a colon resection. Postoperatively, while assisting the client to turn in bed for routine care, the nurse notices the surgical wound site has suddenly dehisced, and there is evisceration of abdominal contents. In prioritizing the immediate actions to take, which step should the nurse perform first to address this acute complication? A. Promptly notify the surgeon to report the critical incident and seek further orders. B. Immediately cover the eviscerated tissue with a dressing moistened with sterile normal saline. C. Check the client's vital signs to assess for shock or other immediate life-threatening conditions. D. Attempt to gently approximate the wound edges without applying pressure to the eviscerated organs. E. Prepare the client for emergency surgery while ensuring the preservation of the exposed tissues. F. Administer prescribed analgesia to manage the client's pain due to the dehiscence.

A 50-year-old male client with a history of colorectal cancer has recently undergone a colon resection. Postoperatively, while assisting the client to turn in bed for routine care, the nurse notices the surgical wound site has suddenly dehisced, and there is evisceration of abdominal contents. In prioritizing the immediate actions to take, which step should the nurse perform first to address this acute complication? A. Promptly notify the surgeon to report the critical incident and seek further orders. B. Immediately cover the eviscerated tissue with a dressing moistened with sterile normal saline. C. Check the client's vital signs to assess for shock or other immediate life-threatening conditions. D. Attempt to gently approximate the wound edges without applying pressure to the eviscerated organs. E. Prepare the client for emergency surgery while ensuring the preservation of the exposed tissues. F. Administer prescribed analgesia to manage the client's pain due to the dehiscence.

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter10: Cpt Anesthesia

Section: Chapter Questions

Problem 14MC

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