A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The charge nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates understanding of the teaching?

Rationale: A. This option is incorrect because using the abbreviation “q6h PRN” may be confusing for some clients. Discharge instructions should be written in plain language, specifying “take every 6 hours as needed for pain” to ensure understanding and reduce the risk of medication errors. B. This option is correct because instructing the client to report pus-like drainage from the surgical wound is clear, specific, and actionable. It communicates a warning sign of potential infection that requires immediate attention, which is essential for safe postoperative care. This demonstrates the nurse’s understanding of effective discharge instruction principles. C. This option is incorrect because a sodium-restricted diet is not typically indicated for a client after arthroplasty unless there is a coexisting condition such as hypertension or heart failure. Including unnecessary instructions can confuse the client and reduce adherence to relevant care directives. D. This option is incorrect because while quadriceps setting exercises are part of postoperative rehabilitation, specifying the position “when supine” may be too technical. Discharge instructions should focus on functional, easily understandable instructions that the client can safely perform at home.