After a surgical incision is assessed post-operatively, what action should the nurse take next if crusting is noted?

• A. Report crusting on the incision line to the surgeon
• B. Document findings and continue to monitor
• C. Call surgeon and request antibiotics
• D. Report swelling to the surgeon

Answer: (B)

When crusting is noted on a surgical incision post-operatively, documenting the findings and continuing to monitor is a crucial action. Crusting can be a normal part of the healing process as it may result from dried serum or drainage that occurs following surgery. By documenting the observation accurately, the nurse creates a record of the patient's healing status, which can be essential for future assessments and continuity of care.

Moreover, monitoring allows the nurse to observe for any changes that may indicate complications, such as signs of infection or delayed healing, which would then prompt further action. Ongoing assessment can help identify if the crusting persists or if any other concerning symptoms arise, ensuring that the patient's condition is being effectively managed and that appropriate interventions are made if necessary.

In contrast, reporting crusting immediately to the surgeon or calling for antibiotics would not be warranted as crusting by itself does not typically signify an infection. Likewise, if there is no indication of swelling or other signs of complication, it does not require urgent reporting. Thus, continuing to monitor while documenting appropriately is the most responsible nursing action in this scenario.