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 rationalePhantom limb pain education is important but not an immediate priority. It focuses on post-amputation sensation caused by disrupted nerve signals. However, addressing complications like infection is crucial in the immediate postoperative phase to prevent further morbidity.Choice B rationaleInspecting the incision site prioritizes infection control. Early signs of infection such as erythema, warmth, or exudate must be addressed immediately to prevent systemic spread. Postoperative infections can impede healing and increase hospital stay. This action directly impacts the child's recovery.Choice C rationaleRange-of-motion exercises are vital in the long-term rehabilitation phase to prevent contractures. However, these exercises do not address immediate concerns like postoperative infection, making them a secondary priority in acute care.Choice D rationaleThe prone position helps prevent hip flexion contractures in patients post-lower extremity amputation. While essential for long-term musculoskeletal health, this action is not the most critical during the acute recovery phase when infection is a larger concern.