A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching?

Post-procedure care for arthroscopy focuses on managing postoperative inflammation and preventing excessive intra-articular pressure. The application of cold therapy is standard to induce vasoconstriction, which minimizes bleeding and reduces the metabolic demand of the traumatized tissue. Conversely, the application of heat in the acute phase is contraindicated as it promotes vasodilation and can exacerbate hemarthrosis and edema.

A. "Elevating my leg will reduce swelling after the procedure": Elevation above the level of the heart utilizes gravity to facilitate venous return and lymphatic drainage from the surgical site. This is a correct understanding of postoperative care, as it helps decrease the hydrostatic pressure that contributes to edema. It is a standard non-pharmacological intervention for promoting recovery following orthopedic procedures.

B. "My physician may prescribe pain pills after the procedure": Arthroscopy involves the insertion of a trochar and instruments into the joint capsule, which invariably causes localized pain. Providing pharmacological analgesia is a necessary component of the care plan to ensure patient comfort and facilitate early mobilization. This statement correctly identifies the likelihood of needing analgesic medication during the initial recovery phase.

C. "I should use my heating pad this evening to reduce some of the pain in my knee": This statement indicates a need for further teaching because heat should be avoided for the first 48 hours. Heat increases capillary permeability and blood flow, which can lead to increased swelling and pain in an acutely injured joint. The nurse must instruct the client to use cryotherapy instead to control the inflammatory response.

D. "I may notice some bruising or swelling in my knee": Bruising and mild edema are expected sequelae of the surgical manipulation and the irrigation fluids used during the arthroscopic procedure. Recognizing these as normal findings helps the client monitor their recovery without unnecessary alarm. It is an accurate assessment of the post-surgical clinical presentation and requires no further intervention.