The practical nurse (PN) views the mid-line episiotomy of a client who reports pain in her stitches. Which action should the PN take first?

A. Observe suture line for separation and hematoma formation: The first priority is assessing the episiotomy site for complications such as suture separation, bleeding, or hematoma, which could indicate a need for urgent intervention. Early identification of these issues is essential to prevent infection or further tissue damage. B. Apply an ice pack for 20 minutes to the episiotomy: Ice can help reduce pain and swelling, but it should be applied after assessing the site. Applying ice before evaluation may mask signs of complications or delay recognition of serious issues. C. Initiate daily warm sitz baths during onset of pain: Sitz baths are effective for pain relief and promoting healing but are a supportive intervention. They are implemented after the PN ensures there are no acute complications requiring immediate attention. D. Check medication administration record for last PRN analgesic: Reviewing the last dose of analgesic is important for managing pain, but it is secondary to assessing the site for complications. Pain may be a symptom of a serious problem that needs prompt evaluation.