A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg.Which of the following actions should the nurse take first?
Explanation & Rationale
Choice A rationaleEducating about phantom limb pain is crucial for long-term coping and understanding of post-amputation effects. However, it does not address the immediate physical health risks like infection that must be managed first to ensure recovery.Choice B rationaleInspection of the incision site is necessary to monitor for infection, ensuring immediate postoperative complications are addressed. Prompt recognition of signs like redness, swelling, or purulent discharge prevents systemic infection and optimizes wound healing.Choice C rationaleRange-of-motion exercises aim to maintain flexibility and prevent contractures. While integral to rehabilitation, they are not an immediate priority in the acute postoperative period when infection is a more urgent concern.Choice D rationalePlacing the child in the prone position helps prevent contractures in the hip flexors but does not address immediate concerns of infection. It is a preventative measure rather than an acute care priority.