A patient scheduled for a laparoscopic cholecystectomy in 4 days asks how pain can be controlled until the surgery. How should the nurse respond?
1. "You will feel better if you sit in a recliner and drink water and try not to eat anything. Do not eat any fat."
2. "You will feel better if you rest in bed and do not eat anything until the procedure. Drink only water and milk."
3. "You will feel better if you alternate lying on your back and lying on your abdomen. You may eat anything except fatty food."
4. "You will feel better if you walk as frequently as possible. You may drink coffee, but not soda."
Correct Answer: 1
For greatest comfort the patient should sit in the Fowler's position, which reduces pressure on the inflamed gallbladder. A person in the Fowler's position is sitting straight up or leaning slightly back. The legs may be either straight or bent. Fat intake should be reduced to minimize gallbladder contractions and pain. Resting in bed, lying on the back and abdomen, and walking will not help with pain control before the surgery. The patient should not eat anything during an acute episode of pain.
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