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 dehiscences and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next?<\/p>\n\n\n\n
A.
Prepare the client to return to the operating room.<\/p>\n\n\n\n
B.
Obtain a sample of the drainage to send to the lab.<\/p>\n\n\n\n
C.
Bring additional sterile dressing supplies to the room.<\/p>\n\n\n\n
D.
Auscultate the abdomen for bowel sound activity.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n In the scenario described, the correct intervention for the nurse to implement next is:<\/p>\n\n\n\n A. Prepare the client to return to the operating room.<\/strong><\/p>\n\n\n\n Wound Dehiscence and Evisceration<\/strong><\/p>\n\n\n\n When an evisceration occurs, it indicates a severe and immediate complication that requires urgent intervention.<\/p>\n\n\n\n Why Preparing the Client to Return to the Operating Room is the Best Option:<\/strong><\/p>\n\n\n\n Why the Other Options Are Not Appropriate:<\/strong><\/p>\n\n\n\n In summary, preparing the client to return to the operating room is the most critical step to address the severe complication of evisceration and ensure proper management and recovery.<\/p>\n","protected":false},"excerpt":{"rendered":" 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 dehiscences and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next? A.Prepare the client to return to the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137865","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137865","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137865"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137865\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137865"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137865"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137865"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation<\/h3>\n\n\n\n
\n
\n
Evisceration is a critical situation that necessitates surgical repair. The integrity of the surgical site has been compromised, and there is a significant risk of infection and further complications. The wound needs to be addressed surgically to restore proper anatomical and functional integrity.<\/li>\n\n\n\n
Leaving the wound unrepaired increases the risk of infection, prolonged exposure of internal organs, and further complications. Immediate surgical intervention helps mitigate these risks by ensuring that the wound is properly closed and any underlying issues are addressed.<\/li>\n<\/ol>\n\n\n\n\n
While laboratory analysis of drainage might be necessary later, it does not address the immediate problem of evisceration. The priority is to stabilize the client and address the surgical issue.<\/li>\n\n\n\n
Although maintaining a sterile environment is important, adding more dressings does not address the need for surgical intervention to repair the wound.<\/li>\n\n\n\n
While assessing bowel sounds can be part of ongoing assessment, it does not directly address the immediate problem of wound evisceration. The priority is to prepare for emergency surgery.<\/li>\n<\/ul>\n\n\n\n