The nurse is assisting a client to ambulate several hours after his surgery.The client coughs and says to the nurse,"I feel like something ripped in my incision." A large amount of blood is suddenly apparent on the client's gown near the incision.What action does the nurse take first?

Question

Quizplus · Accepted Answer

The first action of the nurse should be to ease the client to the floor to reduce tension on the incision.This will help keep organs within the abdominal cavity and will help prevent the client from fainting and falling to the floor.The nursing staff should return the client to bed,and the nurse needs to reinforce the dressing while leaving the original one intact.The surgeon or the Rapid Response Team should be notified.

The Nurse Is Assisting a Client to Ambulate Several Hours