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The Nurse Is Caring for a Client Who Is Five

Question 8

Multiple Choice

The nurse is caring for a client who is five days postoperative.The physician orders that every other staple be removed from the incision.The nurse notices that the staples appear to be far apart and after the first staple is removed, the incision begins to gap open.Which action will the nurse take?


A) Finish removing the staples as ordered.
B) Call the physician and report wound dehiscence.
C) Apply a sterile dressing and document the event.
D) Use adhesive strips to re-approximate the gaping edges.

Correct Answer:

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