An older male client is returning to the surgical unit after a total right knee replacement. Which assessment findings are most important for the practical nurse (PN) to document in this client's electronic medical record (EMR)?

Clear lung sounds, CPM (continuous passive motion) on.

B. Call bell, side rails, bed in low position, and ambulation aids.

Paresthesia, paralysis, pedal pulses, pallor, and pain.

Blood pressure 138/88, pain scale 7, and respirations 22.