PN Adult Medical Surgical Practice Exam

After a foot amputation, which nursing action should a nurse take first?

1. Measure urinary output.

2. Observe for phantom pain.

3. Obtain the client's temperature.

4. Check the incisional dressing.

The correct answer is: Check the incisional dressing.

After a foot amputation, the priority nursing action is to check the incisional dressing. This step is crucial because it helps to assess for any signs of bleeding, infection, or other complications at the surgical site. Monitoring the incision closely following surgery is part of ensuring patient safety and addressing potential issues early, which can significantly impact recovery. Checking the dressing not only provides information about the condition of the wound but also allows for the opportunity to reinforce the dressing if necessary, ensuring that the surgical site remains protected during the critical postoperative period. This action is foundational because an unaddressed complication could lead to more severe issues, including the risk of sepsis or prolonged recovery. While monitoring urinary output, observing for phantom pain, and assessing body temperature are all important nursing actions, they are not as immediate as ensuring the surgical site is stabilized and free from complications. Addressing wound care takes precedence in the early postoperative phase and ensures that the patient's overall condition is closely monitored.