Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?

Choice A rationale

Orthopnea, or shortness of breath when lying flat, is a classic symptom of heart failure. Patients often need to sleep in an elevated position to ease breathing, which indicates a potential worsening of heart function that needs urgent evaluation.

Choice B rationale

Night sweats and overall diaphoresis can be symptoms of myocardial infarction (heart attack) or other acute cardiac conditions. This requires prompt medical assessment to prevent further cardiac events or complications.

Choice C rationale

Nocturnal angina, or chest pain at night, can indicate a severe underlying cardiac issue such as unstable angina or coronary artery disease. This symptom warrants immediate cardiac evaluation to manage and mitigate potential risks.

Choice D rationale

Headaches after eating are not typically associated with cardiac issues but may relate to other conditions such as hypoglycemia or migraines. This symptom alone does not usually prompt immediate cardiac evaluation.

Choice E rationale

Postprandial somnolence, or sleepiness after eating, is generally not linked directly to cardiac status but rather to digestive or metabolic processes. This symptom is less likely to require urgent cardiac assessment. .

Choice A rationale

Monitoring for the return of the client's gag reflex is important post-anesthesia, but it is not the priority intervention following an open cholecystectomy. The focus should be on respiratory function and preventing complications.

Choice B rationale

Deep breathing exercises are a priority nursing intervention following an open cholecystectomy to prevent pulmonary complications such as atelectasis and pneumonia. Ensuring proper lung expansion and oxygenation is crucial.

Choice C rationale

Ambulating the client is important for preventing complications such as deep vein thrombosis, but it is not the immediate priority. Early mobilization should be encouraged as soon as the patient is stable and can tolerate it.

Choice D rationale

Discussing dietary restrictions and menu choices is important for long-term recovery and prevention of further gallbladder issues, but it is not the immediate priority after surgery. Postoperative respiratory management takes precedence.