A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

A. Cover the wound with a transparent dressing: Transparent dressings are not appropriate for evisceration because they do not provide adequate moisture retention or protection for exposed organs, and can adhere to tissue causing further injury. B. Position the client in semi-Fowler's position: Semi-Fowler’s may increase intra-abdominal pressure, worsening the evisceration. Elevation of the head without knee flexion is not recommended in this emergency. C. Instruct the client to lie supine with his knees flexed: This position reduces tension on the abdominal muscles and helps prevent further protrusion of abdominal contents. It is the recommended position while preparing for emergency surgical intervention. D. Cover the wound with a dry sterile dressing: A dry dressing can adhere to the eviscerated tissue and cause injury when removed. The wound should be covered with a sterile, moist dressing (e.g., saline-soaked sterile gauze) to protect tissue until surgery.