The Nurse Is Changing the Abdominal Surgical Dressing of an Older

The nurse is changing the abdominal surgical dressing of an older patient who has developed pneumonia and a cough. Upon removing the dressing, the nurse notes the situation as pictured below. What should be the nurse's intervention?

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.