Difficulty: Medium
Average Score: 83%
Simulated
The nurse is caring for a patient who had an above-the-knee amputation (AKA) five days ago. The nurse notices a new foul odor coming from the incision, which is erythematous, tender, and warm to the touch. What is the priority nursing action in this situation?
Correct answer
C
Rationale
Reporting the finding to the care provider is the priority nursing action. The symptoms described suggest a possible infection.