Upon discovering wound evisceration in a post-operative client, what is the nurse's immediate action?

Upon discovering wound evisceration in a post-operative client, what is the nurse's immediate action?

• A. Take the client's vital signs
• B. Notify the healthcare provider
• C. Cover the wound with a sterile dressing
• D. Administer pain medication

Answer: (B)

In the case of wound evisceration in a post-operative client, the immediate action a nurse should take is to notify the healthcare provider. This is because evisceration is a surgical emergency that can lead to serious complications, including infection and delayed healing if not addressed promptly. Notifying the healthcare provider ensures that the patient receives the necessary medical intervention as quickly as possible, which may include surgical repair. While taking vital signs, covering the wound with a sterile dressing, and administering pain medication are important aspects of patient care in a post-operative setting, they do not address the urgency of the situation as effectively as notifying the healthcare provider. Covering the wound with a sterile dressing, for example, is indeed important to protect exposed organs and minimize the risk of infection, but it does not replace the need for immediate medical assessment and intervention. Ensuring that the healthcare provider is aware of the situation enables a timely and appropriate response, which is crucial in managing the risks associated with evisceration.

In the case of wound evisceration in a post-operative client, the immediate action a nurse should take is to notify the healthcare provider. This is because evisceration is a surgical emergency that can lead to serious complications, including infection and delayed healing if not addressed promptly. Notifying the healthcare provider ensures that the patient receives the necessary medical intervention as quickly as possible, which may include surgical repair.

While taking vital signs, covering the wound with a sterile dressing, and administering pain medication are important aspects of patient care in a post-operative setting, they do not address the urgency of the situation as effectively as notifying the healthcare provider. Covering the wound with a sterile dressing, for example, is indeed important to protect exposed organs and minimize the risk of infection, but it does not replace the need for immediate medical assessment and intervention. Ensuring that the healthcare provider is aware of the situation enables a timely and appropriate response, which is crucial in managing the risks associated with evisceration.