The nurse is reviewing discharge instructions with a client who had a laparoscopic cholecystectomy earlier in the day. Which of the following statements by the client indicates correct understanding of the teaching?
I should stay home for the next two days to avoid straining my incisions.
I will eat meals that are high in fat to help with healing.
I might feel shoulder pain from the gas used during surgery, but it should pass.
If I feel nauseated, I should lie flat on my back until it passes.
The Correct Answer is C
Choice A reason: While rest is important, clients are encouraged to resume light activity soon after laparoscopic cholecystectomy to promote circulation and prevent complications like pneumonia or deep vein thrombosis. Avoiding heavy lifting for a few weeks is advised, but staying completely inactive for two days is not necessary.
Choice B reason: A high-fat diet is contraindicated after gallbladder removal. Clients are advised to consume a low-fat, high-fiber diet to support digestion and reduce gastrointestinal discomfort.
Choice C reason: Shoulder pain is a common and expected side effect due to residual carbon dioxide gas used during laparoscopic surgery. This pain typically resolves within a few days and does not indicate a complication.
Choice D reason: Lying flat when nauseated may worsen symptoms and increase the risk of aspiration. Sitting upright or lying on the side is safer and more effective for symptom relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Pursed-lip breathing helps maintain airway patency, prolongs exhalation, and improves gas exchange. It is a cornerstone technique in COPD management.
Choice B reason: High-flow oxygen via non-rebreather mask may suppress respiratory drive in COPD clients who retain CO₂. Oxygen should be titrated carefully to maintain safe saturation levels.
Choice C reason: Bronchodilators are typically administered before meals to improve breathing and reduce fatigue during eating. Delaying until after meals may not optimize therapeutic benefit.
Choice D reason: Lying flat can impair diaphragmatic movement and worsen ventilation. Upright or semi-Fowler’s positioning is preferred to enhance lung expansion.
Correct Answer is A
Explanation
Choice A reason: A fever in a client undergoing chemotherapy is a red flag for neutropenic fever, which can indicate a life-threatening infection due to immunosuppression. Immediate evaluation is necessary to rule out sepsis and initiate appropriate treatment.
Choice B reason: Hair loss is a common and expected side effect of chemotherapy. While distressing, it does not require urgent medical intervention.
Choice C reason: A metallic taste is a known side effect of chemotherapy and does not indicate an acute complication.
Choice D reason: Fatigue is a frequent and expected symptom during chemotherapy and typically does not require immediate follow-up unless accompanied by other concerning signs.
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