MRCP UK EXAMINATIONS

CARDIOLOGY

VENTRICULAR SEPTAL DEFECT

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a patient with a postoperative wound evisceration. Which action should the nurse perform first?
A
Explain to the patient what is happening and provide support
B
Cover the protruding organs with sterile gauze moistened with sterile saline solution
C
Push the protruding organ back into the abdominal cavity
D
Ask the patient to drink as much fluid as possible
Explanation: 

Detailed explanation-1: -If an evisceration is found, the nurse should immediately notify the provider and cover the wound with a nonadherent dressing that is pre-moistened with sterile normal saline.

Detailed explanation-2: -Detailed Solution Evisceration is a surgical emergency and needs to be treated immediately (Hinkle & Cheever, 2018). Dehiscence and evisceration can be a life-threatening emergency; do not leave the client immediately call for help and, using a clean, sterile towel or sterile saline dampened dressing, cover the wound.

Detailed explanation-3: -What must you do immediately? Call for help but stay with your patient. Tell the person who responds to notify the surgeon immediately.

Detailed explanation-4: -Treating Evisceration Evisceration is always a medical emergency. If you see tissue or organs protruding from a surgical wound, call 911 or go to the nearest hospital emergency room. It’s important to keep the wound moist.

There is 1 question to complete.