NURSING MODULE 9 EXAM

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1.ID: 8482572285A client who has undergone abdominal surgery calls the nurse and reports that she just felt “something give way” in the abdominal incision. The nurse checks the incision and note... s the presence of wound dehiscence. The nurse immediately: *Covers the abdominal wound with a sterile dressing moistened with sterile saline solution *Correct - Rationale: Wound dehiscence is the disruption of a surgical incision or wound. When dehiscence occurs, the nurse immediately places the client in a low Fowler’s position or supine with the knees bent and instructs the client to lie quietly. These actions will minimize protrusion of the underlying tissues. The nurse then covers the wound with a sterile dressing moistened with sterile saline. The physician is notified, and the nurse documents the occurrence and the nursing actions that were implemented in response. [Show More]

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