Final answer:
The nurse would determine that the client needs additional instructions if the client makes the statement 'Expect changes in the shape of the knee' after total knee replacement with a metal prosthesis.
Step-by-step explanation:
Out of the statements made by the client after total knee replacement with a metal prosthesis, the nurse would determine that the client needs additional instructions if the client makes the statement: 'Expect changes in the shape of the knee.'
The shape of the knee should not change after a total knee replacement with a metal prosthesis. Any changes in the shape of the knee could indicate a problem with the prosthesis or the surgical site. It is important for the client to report any bleeding gums or tarry stools, fever, redness, increased pain, and to inform future caregivers about the metal implant.