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 take first?

1) Notify the surgeon immediately
2) Cover the protruding bowel with a sterile dressing
3) Administer pain medication to the client
4) Reposition the client to relieve pressure on the bowel

Answer 1

The nurse should notify the surgeon immediately when observing a large part of the bowel protruding through the abdomen during a dressing change for a client recovering from a hemicolectomy.

Step-by-step explanation:

The nurse should notify the surgeon immediately when observing a large part of the bowel protruding through the abdomen during a dressing change for a client recovering from a hemicolectomy. This is a serious complication called a bowel evisceration, which requires prompt medical attention. It is important to ensure the surgeon is aware of the situation to determine the appropriate course of action and prevent further complications.