Physiological Adaptation Q 147

---

A male client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. Nurse Trish first response is to:

  

     A. Call the physician

     B. Place a saline-soaked sterile dressing on the wound

     C. Take blood pressure and pulse

     D. Pull the dehiscence closed

    

    

Correct Answer: B. Place a saline-soaked sterile dressing on the wound.

---

The nurse should first place saline-soaked sterile dressings on the open wound to prevent tissue drying and possible infection.

---

Option A: After placing a saline-soaked gauze, the nurse should call the physician.

Option C: After notifying the physician, the nurse should take the client’s vital signs.

Option D: The dehiscence needs to be surgically closed, so the nurse should never try to close it

---