The nurse is caring for a patient who had an incisional cholecystectomy. Which activities should the nurse prioritize highest? (Select all that apply.)
a. Coughing and deep breathing
b. Performing leg exercises
c. Ambulating early and frequently
d. Choosing low-fat foods from the menu
e. Managing pain
f. Encouraging use of an incentive spirometer
ANS: A, C, E, F
A. Preventing respiratory complications is the priority as the high incision can be painful with respiration and may make the patient reluctant to cough and clear secretions. E and F. Controlling pain so the patient will be willing to deep breathe and cough and use an incentive spirometer are important. C. Ambulation as soon as ordered promotes lung expansion to prevent respiratory complications. B and D are important but not the highest priority.
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