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September 2007, Volume 37 Number 9 , p 28 - 29


  • Susan Hunter RN, MSN
  • Patricia Thompson RN, MS
  • Diane Langemo RN, PhD, FAAN
  • Darlene Hanson RN, MS
  • Julie Anderson RN, CCRC, PhD


Hunter, Susan RN, MSN; Thompson, Patricia RN, MS; Langemo, Diane RN, PhD, FAAN; Hanson, Darlene RN, MS; Anderson, Julie RN, CCRC, PhD

At the University of North Dakota College of Nursing in Grand Forks, N.D., Susan Hunter is an associate professor of nursing, Patricia Thompson is a clinical assistant professor of nursing, Diane Langemo is Chester Fritz Distinguished Professor Emeritus, Darlene Hanson is a clinical associate professor of nursing, and Julie Anderson is an assistant professor of nursing.

RESPONDING TO THE CALL BELL, you find Denise DeVito, 62, sitting on her bed with one hand pressed on her abdomen. Mrs. DeVito, who had a left hemicolectomy for cancer 5 days ago, says she had a coughing spell on her way to the bathroom and felt a popping in her abdomen. The lower part of her gown is covered with serosanguineous drainage. Examining her wound, you find that the incision has separated and you can see down to the fascia.

Because she has an abdominal wound, ...

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