The nurse is caring for a postoperative client who reports pain in the shoulder blades following laparoscopic cholecystectomy surgery. Which direction does the nurse give to the nursing assis-tant to help relieve the client's pain?
a. "Ambulate the client in the hallway."
b. "Apply a cold compress to the client's back."
c. "Encourage the client to take sips of hot tea or broth."
d. "Remind the client to cough and deep breathe every hour."
A
The client who has undergone a laparoscopic cholecystectomy may report free air pain because of retention of carbon dioxide in the abdomen. The nurse assists the client with early ambulation to promote absorption of the carbon dioxide. Coughing and deep breathing are important post-operative activities, but they are not related to discomfort from carbon dioxide. Cold compresses and drinking tea would not be helpful.
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