On postoperative day 1 after knee surgery, fever and effusion; most appropriate action?

• A. Write a note and apply cryotherapy
• B. Inform the nurse and apply compression
• C. Document the reason and check next day
• D. Inform the surgeon and hold PT

Answer: (D)

Fever after knee surgery with new effusion on the first postoperative day is a red flag for possible infection around the joint or wound. The safest move is to pause active therapy and involve the surgeon right away so they can evaluate for infection, wound issues, or other complications and order the necessary tests and treatment. Holding physical therapy prevents placing stress on the joint and avoids delaying appropriate medical care. In the meantime, monitor vital signs and the wound, and avoid aggressive movements or therapies that could mask symptoms or worsen the situation. Other options don’t address the urgent need for medical assessment and could delay treatment.