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?
Notify the primary healthcare provider.
Cover the wound with a sterile towel.
Elevate the client’s head of bed.
Gently reinsert the intestine into the abdominal cavity.
Be sure to consider describing words like first (second, third, etc.), priority, next, last, before, final, and after in questions. They indicate that there is one particular correct answer, even if the other answer choices may be related to the question.
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