What should a nurse include in a discharge plan to promote wound healing for a client with a total right knee replacement?

A key factor in promoting wound healing for a client after a total knee replacement is smoking cessation. Smoking negatively impacts circulation and oxygen delivery, which are critical for wound healing. Nicotine constricts blood vessels, thereby reducing blood flow to the surgical area and prolonging recovery times. By including smoking cessation in the discharge plan, the nurse is addressing a modifiable risk factor that can significantly enhance the client's healing process and overall recovery.

In contrast, other options do not support optimal healing. A diet low in protein may hinder recovery, as protein is essential for tissue repair. Immediate heavy exercise could place undue stress on the surgical site and impede healing. Complete bed rest is not advisable after a knee replacement, as movement is necessary to maintain joint function and prevent complications such as blood clots and stiffness. Therefore, promoting smoking cessation is crucial in the discharge plan to foster an environment conducive to healing.