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    HESI RN Medical Surgical Proctored Exam

    A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehisces and eviscerates. The nurse moistens an available sterile dressing and places It over the wound. Which intervention should the nurse implement next?

    Explanation & Rationale

    A. Auscultating the abdomen for bowel sound activity is important, but the priority is addressing the dehisced and eviscerated wound.B. Bringing additional sterile dressing supplies is a good idea, but the priority is addressing the dehisced and eviscerated wound.C. Obtaining a sample of the drainage for laboratory analysis can wait until the client's immediate needs are addressed.D. Preparing the client to return to the operating room is the priority to address the dehisced and eviscerated wound and prevent further complications.

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