護理師護理一位腹部手術後病人，下列哪項評估發現需立即回報醫師？
A nurse is caring for a client who is post-operative following an abdominal surgery. Which assessment finding should be reported to the provider immediately?
- ASerosanguineous drainage on the surgical dressing手術敷料上有漿液血性滲出物
- BDecreased bowel sounds in all four quadrants四個象限的腸鳴音減弱
- CPain level of 4 out of 10疼痛程度為 10 分中的 4 分
- DEvisceration of the abdominal incision✓ 正解腹部切口器官脫出
切口裂開（Evisceration）是指腹部手術切口完全裂開，導致腹腔內器官外露。這屬於危急的術後併發症，會導致嚴重的感染、敗血症及器官缺血。護理師需立即採取行動：以無菌生理食鹽水濕紗布覆蓋外露組織，保持器官濕潤，將病人置於低半坐臥姿（Low-Fowler's）以減輕腹部壓力，並立即通知醫師進行緊急手術修補。
Evisceration is the complete dehiscence of an abdominal surgical incision with protrusion of abdominal organs through the wound. It is a critical postoperative complication that can lead to severe infection, sepsis, and organ ischemia. The nurse must act immediately: cover the exposed tissue with sterile gauze moistened with sterile normal saline to keep the organs moist, place the client in low-Fowler's position to reduce abdominal tension, and notify the provider immediately for emergency surgical repair.