The Nurse Is Providing Postoperative Care to a Client with a Large

question 6

Multiple Choice

The nurse is providing postoperative care to a client with a large wound.The nurse removes the dressing and notes that the wound has dehisced.Which actions should the nurse take? Select all that apply.

• A)Cover the wound with a large sterile dressing.
• B)Pour sterile saline into the wound bed.
• C)Notify the surgeon immediately.
• D)Ask the client, "Did you feel anything pop open?"
• E)Reassess the wound in 1 hour.