The nurse is providing education to a patient who will undergo an upper extremity amputation. What should the nurse emphasize as the priority nursing intervention in the immediate post-operative period?

The primary purpose of a follow-up visit for a patient who underwent amputation is to adjust the prosthetic fitting and alignment. Prosthetic devices need to be customized and aligned correctly to ensure the patient's optimal mobility and function.

a. To assess for surgical wound dehiscence: While wound assessment is essential, it is not the primary purpose of a follow-up visit. Wound dehiscence, if present, would typically be detected earlier and addressed during the immediate post-operative period.
b. To provide emotional support and counseling: Emotional support and counseling are essential aspects of care for a patient who underwent amputation, but they are not the primary purpose of a follow-up visit, which focuses on the prosthetic fitting and functional outcomes.
d. To initiate post-operative physical therapy: Post-operative physical therapy may be initiated during the rehabilitation process, but it is not typically the primary purpose of a follow-up visit. Initial physical therapy sessions may begin earlier, often shortly after the amputation surgery.

The priority nursing intervention in the immediate post-operative period for a patient who has undergone amputation is to assess the surgical incision for signs of infection. Infection is a common concern after surgery, and early detection and intervention are crucial to prevent complications and promote healing.

a. Administering pain medications as prescribed: Pain management is important for the patient's comfort and well-being, but it is not the priority nursing intervention immediately after amputation. Assessing the surgical incision for signs of infection takes precedence to prevent potential complications.
c. Applying a compression bandage to the residual limb: While compression bandages may be used as part of the post-operative care, they are not the priority intervention immediately after amputation. Ensuring the surgical site's integrity and preventing infection are more critical in the early post-operative period.
d. Providing emotional support and counseling: Emotional support and counseling are essential for the patient's overall well-being, but they are not the priority nursing intervention in the immediate post-operative period. The focus at this time is on physical assessment and early detection of any complications.