A client with a laparoscopic cholecystectomy is complaining postoperatively of shoulder pain and is asking if the surgical team incorrectly positioned the client when in surgery
The nursing diagnosis for this client is Comfort: Readiness for Enhanced. A nursing intervention that is appropriate for this client is: 1. Provide a warm pack to the shoulder and ambulate the client, progressing to the client's prior activity level.
2. Provide pain medication for breakthrough pain unrelieved by the PCA morphine.
3. Provide an antiemetic as ordered.
4. Examine the abdomen for sign of peritonitis.
Provide a warm pack to the shoulder and ambulate the client, progressing to the client's prior activity level.
Rationale: Shoulder pain postoperatively following a laparoscopic procedure is often a result of the gases instilled into the abdomen. Utilizing a warm moist pack and ambulating the client will assist in reducing this complaint. Most clients do not require breakthrough pain medication on top of the PCA, as the client can regulate the pain medicine. Providing an antiemetic will not be beneficial because the client is not complaining of nausea. There is no indication of peritonitis.
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