I'm officially confused. (Question that has million answers)

ParvulusPuella · Mar 9, 2012

Definitly cover with saline soaked gauze. While doing that you could have the coworker call the MD, and be getting vitals. But you need to protect the vicsera first.

DixieRedHead, ASN, RN · Mar 9, 2012

Definitly cover with saline soaked gauze. While doing that you could have the coworker call the MD, and be getting vitals. But you need to protect the vicsera first.

Exactly correct. And it's the only answer.

futurern34 · Mar 9, 2012

All of them are correct. In school we were talk to cover with soaked saline gauze. I guess differnt sources wanna know what you would do if you don't see that answer.

MaleNurseIL · Mar 9, 2012

I came across same question yesterday and was confused. Thanks for the clarification.

ellord · Mar 9, 2012

Always remember that patient assessment or care comes first before any other? These three answers are from different sources.

Situation: Wound dehiscence/evisceration

kaplan: What will you be doing whilse you stay with client?

Lacharity: What happens to the situation while you check the blood pressure and heart rate?

Nclex: Cover with saline soaked sterile dressing.

Answer for yourself, which of the interventions above directly solves the situation?

Keep in mind, if all three options appear in a question, priority is situation address/patient.

NewGoalRN · Mar 9, 2012

I would cover with saline soaked gauze first then or as I'm doing it tell co-worker to call dr.

I've seen this question before and the answer was saline guaze to minimize infection.

It has to also do with these 2 core testing principles:

1. If there is one thing that you can do before you leave, what would it be (without passing the buck)

2. Very few times you pass the buck, most of the time the nurse can do one action

at least in NCLEX world before calling the doctor (there are a few times when calling the dr is right but in NCLEX world, most of the time, the nurse can take one action first.)