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The nurse observes the presence of intestinal contents protruding from the client's surgical wound after colon resection. What action will the nurse take?
A) Pack the wound with gauze pads and a dry sterile dressing.
B) Apply saline solution–moistened gauze over the protruding area.
C) Allow the wound and intestinal contents to remain open to air.
D) Inform the client that this is an expected occurrence and not to worry.


Sagot :

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