A nurse is caring for a client who is postoperative following abdominal surgery. The nurse discovers a loop of bowel protruding through an opening in the surgical incision. Which of the following actions should the nurse take?

Choice A reason: Placing the head of the client's bed in the flat position is not appropriate in this situation. The client should be positioned to minimize strain on the wound and prevent further evisceration, which may include elevating the knees and head slightly to reduce tension. Choice B reason: Gently reinserting the bowel back into the wound is not recommended and can cause further injury or infection. This action should only be performed by a surgeon in a sterile environment. Choice C reason: Positioning the client on his left side does not directly address the issue of the protruding bowel and may cause discomfort or exacerbate the situation. Proper positioning should aim to reduce tension on the wound and prevent further protrusion. Choice D reason: Applying moistened sterile gauze to the site is the correct action. This keeps the exposed bowel moist and protected until surgical intervention can be performed. It helps prevent further injury and reduces the risk of infection, providing a temporary protective measure until the client can be taken to surgery.