问题 单项选择题

The client experiences a wound evisceration on day 2 after the abdominal hysterectomy. What should the nurse immediately do

A. Approximate the wound edges by applying strips of adhesive over the wound.
B. Cover the exposed tissues with sterile dressings moistened with normal saline solution.
C. Replace the abdominal contents into the wound carefully while wearing gloves.
D. Apply a loose-fitting sterile abdominal binder over the woun

答案

参考答案:B

解析:If the wound opens and tissues are exposed (wound evisceration), the nurse should cover the exposed tissues with sterile dressings moistened with sterile normal saline solutions. The nurse should also cover an eviscerated wound with sterile dressings moistened with sterile normal saline solution. The physician should be notified immediately when a wound dehisces or eviscerates.

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