Question

A client presents to the emergency department with an abdominal stab wound. The nurse visualizes intestines protruding through the wound. Which of the following is an appropriate action for the nurse?

Answer 1

The nurse should provide immediate medical intervention, apply pressure with sterile dressings, and prepare for surgical intervention when a client presents with an abdominal stab wound and intestines protruding through the wound.

Step-by-step explanation:

When a client presents to the emergency department with an abdominal stab wound and the nurse visualizes intestines protruding through the wound, the appropriate action for the nurse is to provide immediate medical intervention. This may include applying pressure with sterile dressings to prevent further injury, stabilizing the client's condition, and preparing for surgical intervention. It is crucial to maintain strict infection control measures and ensure the client's vital signs are monitored closely.