一位病患腹部術後兩天，護理師發現傷口邊緣輕微分離。下列哪項發現需立即回報醫師？
A client is 2 days post-op for an abdominal surgery. The nurse notes the wound edges are slightly separated. Which finding should be reported to the provider immediately?
- ASmall amount of serosanguineous drainage少量漿液血性滲出液
- BModerate redness along the suture line沿著縫合線有中度的紅腫
- CProtrusion of loops of bowel through the incision✓ 正解腸道環從切口突出
- DPatient reports pain at the incision site病人報告切口處有疼痛
傷口裂開（Dehiscence）若伴隨臟器脫出（Evisceration）屬於外科急症。當腸道露出，應立即以無菌生理食鹽水浸濕的敷料覆蓋，並將病患置於低半坐臥位（Low Fowler's）以減少腹壓，立即通知醫師準備緊急手術。其他選項皆為術後常見的正常或可控現象。
Wound dehiscence with evisceration (protrusion of bowel through the incision) is a surgical emergency. Immediate care includes covering the exposed bowel with sterile saline-soaked dressings, placing the client in low-Fowler's position with knees flexed to reduce abdominal pressure, and notifying the provider for urgent surgical intervention. Serosanguineous drainage, mild pain, and slight redness are expected post-op findings.
在美國，傷口脫出後護理師職責明確，會直接啟動急救呼叫；台灣護理師亦同，但通常會先尋求外科總醫師協助評估。