Question

One day following a total knee replacement, a male client tells the nurse that he is unable to transfer because it is too painful. What action should the nurse implement?

Answer 1

A nurse should assess the patient's pain, checking for signs of complications such as infection or inflammation. Pain management should be optimized according to protocol, with collaboration from the surgical team if needed. The nurse will also assist and educate the patient on mobilization techniques.

Step-by-step explanation:

When a patient experiences significant pain during an attempt to transfer after a total knee replacement, the nurse should first assess the level and source of pain. The assessment may include checking for signs of infection or inflammation, potentially evidenced by redness, swelling, elevated temperature, or discharge from the surgical site. It is important to determine if the pain is expected post-operative pain or if it stems from complications such as gangrenous inflammation or infection. The nurse should ensure that the patient's pain is being managed effectively according to the prescribed pain management protocol, which could include analgesics or other medications. If necessary, the nurse should consult with the surgical team or pain management specialists to adjust the patient's pain management plan. Additionally, the nurse should also offer reassurance, explain the importance of early mobilization for recovery, and potentially assist with gentle movement or use of a transfer device to minimize discomfort.