A nurse is checking the abdominal incision of a client who is 24 hr postoperative. The nurse finds wound evisceration with protruding abdominal contents. The nurse should place the client into which of the following positions?

A. Supine with knees flexed: Positioning the client supine with knees flexed reduces strain on the abdominal muscles and incision site, helping prevent further protrusion of organs. This position also provides comfort and stabilizes the client while preparing for emergency surgical intervention. It minimizes tension on the wound during transport or care. B. Semi-Fowler's with legs extended: Semi-Fowler's increases abdominal muscle tension, which can worsen evisceration and cause pain. Extending the legs further stretches the abdominal wall, increasing risk of organ protrusion. This position is not appropriate in cases of wound evisceration. C. Trendelenburg with legs extended: Trendelenburg tilts the client’s head downward, which can increase intra-abdominal pressure and risk of further evisceration. Extended legs also increase tension on the incision. D. Left-lateral with knees flexed: Lying on the left side may not adequately reduce abdominal pressure and can make access for emergency care more difficult. Although knees flexed help slightly, lateral positioning does not provide the same stability and protection as supine with knees flexed.