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- Cover the incision with a sterile dressing
- Check the patients blood pressure
- Elevate the patients legs
- Administer 100 percent oxygen by facial mask
The patient has most likely suffered wound dehiscence, which occurs when a wound breaks open. In this case, dehiscence was indicated by a popping sound, most likely of sutures breaking, and increased drainage. The nurse's first action is to protect the wound by covering it with a sterile dressing and then calling for help.
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