A male client has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs.. place saline-soaked sterile dressings on the wound

A male client has undergone a colon resection.

While turning him, wound dehiscence with evisceration occurs. The nurse’s first response is to:

a- call the physician.

b- place saline-soaked sterile dressings on the wound.

c- take a blood pressure and pulse.

d- pull the dehiscence closed.

Answer B.
The nurse should first place saline-soaked sterile dressings on the open wound to prevent tissue drying and possible infection.
Then the nurse should call the physician and take the client’s vital signs.
The dehiscence needs to be surgically closed, so the nurse should never try to close it.