The nurse is caring for a client who develops an evisceration. What nursing intervention is most appropriate when an evisceration occurs in the surgical wound of a client who has undergone surgery?

Question

Quizplus · Accepted Answer

When an evisceration occurs, the nurse should cover the protruding organs and tissues with sterile dressings moistened with normal saline to prevent further injury or bacterial contamination. The client should also be placed in a position that puts the least strain on the operative area to prevent further damage. Analgesics may also be administered as prescribed to help manage the client's pain. Instructing the client to avoid movement may be necessary, but it is not the most appropriate nursing intervention in this situation.

The Nurse Is Caring for a Client Who Develops an Evisceration