Difficulty: Medium
Average Score: 67%
Simulated
The nurse enters a client's room to find that his abdominal wound has eviscerated. Which intervention should the nurse implement first?
Correct answer
D
Rationale
Applying a sterile normal saline dressing is the first priority to cover and protect the exposed abdominal contents, preventing infection and further tissue damage. Positioning, antibiotics, or replacing contents are secondary actions that follow stabilization and notification of the healthcare provider.