The Nurse Is Changing the Abdominal Surgical Dressing of an Elderly

The nurse is changing the abdominal surgical dressing of an elderly patient who has developed pneumonia and a cough. Upon removing the dressing, the nurse notes the situation pictured above. What should be the nurse's intervention? Select all that apply.

A) Place saline moistened sterile dressing over the incision.
B) Notify the patient's surgeon of the occurrence.
C) Don sterile gloves and insert the loop of bowel back into the abdomen.
D) Document the presence of a dehiscence in the medical record.
E) Replace the dressing and ask the oncoming shift to advise the physician about the situation when rounds are made.