CNOR Operating Room Nursing

Category - Emergencies

A perioperative nurse is assessing a patient recovering from abdominal surgery. As they check the incision site, blood rushes out, followed by loops of intestine. Which intervention is necessary for an abdominal evisceration?
  1. Put on sterile gloves and carefully push the loops of bowel back into the wound.
  2. Place sterile dressings moistened with saline over the intestines.
  3. Notify the surgeon of the need for surgical intervention.
  4. Both B and C
Explanation
Answer: D-In the case of an abdominal evisceration, the nurse should place sterile dressings moistened with saline over the intestines and notify the surgeon of the need for surgical intervention. An abdominal evisceration is a serious complication associated with postoperative wound dehiscence. In order to protect the intestines from damage and to reduce the risk of infection, the nurse should cover the wound until the surgeon arrives, rather than trying to replace the abdominal contents.
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