During a Dressing Change, the Nurse Assesses Protrusion of Intestines

question 15

Multiple Choice

During a dressing change, the nurse assesses protrusion of intestines through an opened wound. What would the nurse do after covering the wound with towels moistened with sterile 0.9% sodium chloride solution?

• A) Document the assessments and intervention.
• B) Reinforce the dressing with additional layers.
• C) Administer pain medications intramuscularly.
• D) Notify the physician and prepare for surgery.

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Definitions:

Skin

Outer covering of the body; can be called the integumentary system because it contains organs such as sense organs.

Foramen Ovale

An opening in the septum between the two atria of the heart in a fetus, which normally closes soon after birth.

Fetal Circulation

The circulatory system in a fetus that includes special structures like the umbilical cord, ductus arteriosus, and foramen ovale, facilitating the exchange of oxygen and nutrients between the fetus and mother.

Arterial Duct

A blood vessel in fetuses that connects the pulmonary artery to the descending aorta, allowing blood to bypass the lungs.