What should a nurse do if organs are protruding from an incision during a dressing change?

Prepare for the ATI PN Comprehensive Exit Exam. Utilize interactive quizzes, flashcards, and detailed explanations to ensure success. Ace your exam with confidence!

Covering the exposed area with sterile, saline-soaked dressings is the appropriate action when organs are protruding from an incision. This approach helps to protect the exposed organs from infection and further injury while maintaining a moist environment that can promote healing. The use of saline-soaked dressings is crucial because they can help prevent the tissues from drying out and can minimize irritation.

Taking action to protect the exposed organs is a priority in this situation, as delayed intervention could lead to complications such as infection, tissue necrosis, or further injury. While it is essential to notify a physician of the situation promptly, immediate responsible care of the wound is critical to ensure the best possible outcome for the patient.

In contrast, simply applying a new dressing without further action would not provide the necessary protection or moisture required for the exposed organs. Leaving the area open to air increases the risk of infection and does not provide a suitable environment for recovery. Additionally, attempting to push the organs back into place could cause trauma to the tissues and is not a safe or effective measure in managing this type of injury.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy