The rest of the day is uneventful, and the next day T.B. is discharged to home

What discharge teaching does T.B. need? List at least six points.


• How to monitor his incision sites for infection (warmth, redness, swelling, unusual drainage at the
insertion site). Problems should be reported quickly.
• How to monitor for any recurrent obstruction of his bile duct (recurrence of RUQ pain, nausea/
vomiting [N/V], light-colored stools, brown urine, jaundiced sclera or skin).
• Time, date, and location of his follow-up (F/U) appointment.
• Telephone number and answering service number of the physician, in case of an emergency.
• What to do if there is onset of or increase in pain.
• Purpose of the discharge medications (review the prescriptions with the patient) and F/U
treatments. Give written instructions.
• Importance of taking medications as prescribed.
• Any activity restrictions that must be followed.
• Dietary adjustments after a cholecystectomy. The amount of fat permitted in the diet after a
cholecystectomy depends on how the patient tolerates the fat. In the early postoperative days, a
low-fat diet might help reduce nausea, but for many patients no dietary restrictions are needed. If

Nursing

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