Question

A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. when removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. which of the following actions should the nurse first take?

a-place the client in a supine position
b-measure vital signs
c-cover the wound with sterile, saline-moistened dressing
d-call for help

Answer 1

The nurse should first call for help when a large part of the bowel is protruding through the abdomen during a dressing change for a client recovering from a hemicolectomy.

Step-by-step explanation:

When a nurse notes that a large part of the bowel is protruding through the abdomen during a dressing change for a client recovering from a hemicolectomy, the nurse should first call for help.

Calling for help is the most important action to ensure that the client receives immediate attention and appropriate care. This situation is an emergency that requires prompt intervention from a healthcare team.

By calling for help, the nurse can ensure that additional medical professionals are available to assist with stabilizing the client, providing necessary interventions, and preparing for potential surgical intervention to address the bowel protrusion.