A patient is postoperative after the surgical removal of fibroids and hears a pop sound after coughing. What should you do first?

In the scenario where a patient is postoperative after the surgical removal of fibroids and experiences a pop sound after coughing, the most appropriate first action is to apply sterile saline-soaked towels over the extruding site. This response is crucial as it addresses the potential for an evisceration or wound dehiscence.

When a patient hears a popping sound followed by possible protrusion of internal organs or tissues at the surgical site, prompt attention is required to protect the area and minimize the risk of infection and further complications. Applying sterile saline-soaked towels not only helps to keep the exposed tissues moist but also acts as a protective barrier until further medical assistance can be rendered. This action is essential for maintaining the integrity of the wound and preventing the tissues from drying out or being damaged.

While reinforcing the dressing and checking vital signs are important aspects of patient care, they would not be the immediate priority in this urgent situation. Notifying the surgeon is also critical but would typically follow the initial action of protecting the site. Immediate measures that address potential complications are paramount in ensuring patient safety and well-being after surgery.