A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open.” The nurse notes dehiscence of the incision. Which of the following actions should the nurse take?

Choice A reason: Extending the legs above heart level is not appropriate for dehiscence. This position does not reduce intra-abdominal pressure or protect the incision site. Choice B reason: Placing the client in a low-Fowler’s position with knees slightly flexed reduces tension on the abdominal incision. This position minimizes strain, prevents further separation, and promotes comfort. It is the most appropriate immediate action. Choice C reason: The Valsalva maneuver increases intra-abdominal pressure, which would worsen dehiscence and potentially lead to evisceration. It is contraindicated. Choice D reason: Applying a dry gauze dressing does not provide adequate protection. A sterile, moist dressing is preferred to prevent tissue drying and reduce infection risk. Dry gauze could adhere to exposed tissue and cause trauma upon removal.