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The nurse is performing a physical assessment on a patient who underwent a total knee replacement. Which of the following findings requires the nurse to notify the physician?

Explanation

• After a total knee replacement, a negative pressure dressing, or wound-vac, is often applied. The majority of drainage occurs within the first 24 hours post-op. 

• Output should not exceed 300 ml per shift. Excessive drainage should be reported to the physician.

• The patient should have intact limb motion and signs of good perfusion such as adequate color and warmth.

• Pain after a total knee replacement usual requires opioid analgesics, but this is expected.

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