Difficulty: Medium
Average Score: 74%
Simulated
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?
Correct answer
A
Rationale
For evisceration, lying supine with knees flexed reduces wound tension, preventing further protrusion. A moist sterile dressing is used, not dry or transparent, and semi-Fowler's increases abdominal pressure, worsening the condition.