A client is 2 hours post-op for a right total knee replacement. Upon assessment by the nurse, which information requires notification of the doctor?

  1. hemoglobin is 10.2 grams per liter
  2. bleeding on the dressing of 2 cm
  3. oral temperature of 100.4°F
  4. complaint of pain at incision site
Number 1 is correct.
Rationale: Anemia is a prime concern after a total knee replacement. A hemoglobin level of 10.2 g/L is low (normal is 13.5 – 17.5 for men, 12.0 – 15.5 for women) and might require a blood transfusion. Bleeding on the dressing of 2 cm is not of concern. Circle, date, and time the bleeding initially and monitor closely for changes. Recheck the temperature in 30 minutes; if above 100.6, report finding to the doctor. Complaint of pain at the incision site is routine, and pain medication should be administered as prescribed.