A licensed practical nurse (LPN) is making a home health visit to a 68-year-old man with type 2 diabetes and a surgical wound following a below-knee amputation. The plan of care, established by the RN case manager, calls for daily wound checks and blood glucose monitoring, with a target fasting glucose of 100-140 mg/dL. The client's daughter, who was not present during the visit but called the LPN on the phone, states that "the wound looked a little red and warm yesterday, but I'm sure it's fine." The LPN's own inspection today shows the wound is intact with a well-approximated, clean incision line and no redness or drainage. The client's fasting glucose today is 118 mg/dL, consistent with his baseline over the past week. What should the LPN do first?
- Revise the plan of care to add antibiotic ointment based on the daughter's description of redness.
- Document the daughter's secondhand report and continue the current plan without further action.
- Disregard the daughter's comment since today's wound assessment is normal and glucose is at baseline.
- Report the daughter's secondhand observation and today's findings to the RN case manager for follow-up.