The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Which nursing observation of the incision will indicate the patient is experiencing a complication of wound healing?

Choice A reason: Pain at the incision site can be a normal part of the healing process, especially soon after surgery. While pain should be monitored, it is not necessarily an indication of a complication unless it is severe or persistent. Choice B reason: Itching at the incision site is a common sign of healing and is usually not a cause for concern. It typically indicates that the wound is in the process of closing and healing. Therefore, this observation does not suggest a complication. Choice C reason: An approximated incision means that the edges of the wound are close together and healing well. This is a positive sign and indicates that the wound is healing as expected without complications. Choice D reason: A mass that is bluish in color at the incision site could indicate the presence of a hematoma or seroma, which are potential complications of wound healing. This observation suggests that there may be an accumulation of blood or serous fluid, which can impede proper healing and may require medical intervention. Hence, this is the correct answer that indicates a complication of wound healing.