What weight-bearing status should the nurse communicate to a client post-total knee arthroplasty?

Post-total knee arthroplasty, patients generally progress to full weight bearing as tolerated, typically aimed for by the time of their discharge from the hospital. This approach is based on the surgical intervention aimed at improving joint function and reducing pain, ultimately allowing patients to return to their normal activities.

Communicating that the patient will use full weight bearing by discharge indicates the expectation that they will be able to support their full body weight on the operated leg, promoting mobility and independence as part of their recovery. This is often accomplished under the guidance of physical therapy, where patients are encouraged to practice walking and performing daily activities.

The other options do not align with standard postoperative protocols. Remaining non-weight bearing indefinitely or avoiding weight-bearing altogether would not facilitate recovery or functional improvement. Similarly, while partial weight bearing may occur in certain cases or during early rehabilitation phases, the optimal goal for most patients is to achieve full weight bearing by the time of discharge. Therefore, the statement about full weight bearing aligns best with common clinical practices and patient rehabilitation goals following total knee arthroplasty.