What should the nurse do first when a male client removes the covering from an ice pack applied to his knee?

The first action the nurse should take when a male client removes the covering from an ice pack applied to his knee is to observe the appearance of the skin under the ice pack. This step is crucial because it allows the nurse to assess for any potential skin damage, such as frostbite or irritation, which may have occurred due to direct contact with the ice pack. Ensuring the safety and well-being of the client is paramount, and a thorough assessment of the skin condition under the ice will help determine if any further intervention is needed.

Monitoring the skin's appearance provides critical information about the effectiveness of the cold therapy as well as the need for additional instructions or changes in the application method. Addressing the skin's condition helps prevent any complications related to the use of ice therapy, leading to better overall patient care.