During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?

Question

Quizplus · Accepted Answer

Protrusion of intestines through an opened wound is a medical emergency that requires surgical intervention. Therefore, the nurse should notify the physician immediately and prepare the patient for surgery. Documenting the assessment and intervention is also important, but it is not the immediate priority. Reinforcing the dressing with additional layers or administering pain medications intramuscularly will not address the underlying issue of intestinal protrusion and may even worsen the patient's condition.

During a Dressing Change, the Nurse Assesses Protrusion of Intestines