مريض بعد عملية بطن، وأثناء الكحة شعر بشيء ينفتح، وظهرت أمعاء من الجرح. ما الإجراء الأول؟

After abdominal surgery a client feels something give while coughing and bowel appears through the wound. What is the first action?

1. Cover with a dry dressing and give a laxative
2. Gently and quickly push the bowel back into the abdomen by hand
3. Have the client sit up and stand to walk
4. Cover with sterile saline-soaked dressings; call the surgeon

Answer: D) Cover with sterile saline-soaked dressings; call the surgeon. Evisceration is an emergency: cover with sterile moist dressings, position supine with knees flexed to reduce tension, do not reinsert and notify the surgeon.