A nurse cares for a client who is recovering from laparoscopic cholecystectomy surgery. The client reports pain in the shoulder blades. How should the nurse respond?
a. "Ambulating in the hallway twice a day will help."
b. "I will apply a cold compress to the painful area on your back."
c. "Drinking a warm beverage can relieve this referred pain."
d. "You should cough and deep breathe every hour."
ANS: A
The client who has undergone a laparoscopic cholecystectomy may report free air pain due to retention of carbon dioxide in the abdomen. The nurse assists the client with early ambulation to promote absorption of the carbon dioxide. Cold compresses and drinking a warm beverage would not be helpful. Coughing and deep breathing are important postoperative activities, but they are not related to discomfort from carbon dioxide.
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