A patient is scheduled to undergo a laparoscopic gynecologic procedure. Which statement by the patient indicates to the nurse a need for further education about the procedure?
1. "I can expect to go home a few hours after the procedure.".
2. "I might experience some abdominal pain after the procedure.".
3. "Walking may help reduce my postprocedure pain.".
4. "I should report shoulder pain, as it might signal a complication.".
4
Rationale 1: Laparoscopic procedures are often completed on an outpatient basis unless complications arise.
Rationale 2: Abdominal pain will be present due to the invasiveness of the surgical procedure.
Rationale 3: The greatest amount of postprocedure pain is often associated with the carbon dioxide gas instilled into the abdomen. Walking helps to dissipate this gas.
Rationale 4: The presence of shoulder pain is anticipated after laparoscopic procedures. The discomfort is a result of the carbon dioxide injected into the abdominal cavity to promote visualization during the procedure.
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