When a client reports pain during leg extension on the first day post total knee arthroplasty, what is the best nursing action?

The best nursing action when a client reports pain during leg extension on the first day post-total knee arthroplasty is to administer an analgesic and evaluate the response. This approach addresses the client's immediate discomfort, which is crucial for effective pain management and overall recovery.

After surgery, especially a procedure like total knee arthroplasty, it's common for patients to experience varying levels of pain. By administering an analgesic, the nurse can help alleviate this pain, enabling the patient to engage more comfortably in rehabilitation activities that are vital for recovery, such as physical therapy and mobility exercises. Evaluating the response to the analgesic is also essential, as it allows for adjustments in pain management if necessary, ensuring that the patient's comfort is prioritized.

In contrast, contacting the healthcare provider immediately would typically be reserved for more acute concerns or complications rather than routine postoperative pain. Encouraging the client to perform the full range of motion without first addressing their pain could lead to further discomfort and may hinder their willingness to participate in necessary exercises. Scheduling a physical therapy session is important, but it should ideally occur after the client’s pain has been managed effectively, as pain can significantly affect participation in therapy. Therefore, managing pain first is a foundational step in promoting recovery and mobilization