Question

A post-op client’s caregiver calls out urgently to the nurse that there is something coming out of the client’s abdominal incision. The nurse assesses the patient and realizes that the client’s intestine is protruding out of the surgical incision. Which of the following is the priority nursing action?

Cover the wound with a sterile towel.
Gently reinsert the intestine into the abdominal cavity.
Elevate the client’s head of bed.
Notify the primary healthcare provider.

Accepted Answer

Cover the wound with a sterile towel.

Answer

Notify the primary healthcare provider.

Answer

Gently reinsert the intestine into the abdominal cavity.

Answer

Elevate the client’s head of bed.

Question 39 - Physiological Adaptation Practice Test for the NCLEX-RN Exam