The nurse assesses the client 4 hours following a left TKR. The client has a knee immobilizer in place with medial and lateral packs that are warm. An autotransfusion wound drainage system has 350 mL collected. The client has not voided since before surgery but does not express a need. Which interventions should the nurse plan to implement at this time? Select all that apply.

B Remove the immobilizer to place the knee in 90-degree flexion. E Replace the warm packs in the knee immobilizer with ice packs. A Reinfuse the salvaged blood from the wound drainage system. C Stand the client at the bedside to facilitate bladder emptying. D Place the left leg in a continuous passive motion device (CPM).