The client who is scheduled for an open cholecystectomy is questioning why she must have an open surgery. The health care provider has already obtained informed consent from this client. The nurse responds with:
1. "There are cases where an open surgery is more beneficial to the client, such as an infected gallbladder or the need to explore the common bile duct. I can have your health care provider talk with you again if you have more specific questions.".
2. "Not everyone will qualify for a laparoscopic procedure due to their size. I will call your health care provider and tell her you want a laparoscopic procedure.".
3. "Some clients are not good candidates for laparoscopic procedures because they are afraid of anesthesia.".
4. "The health care provider needs to discuss this with you. I don't know why one surgery is chosen over another.".
"There are cases where an open surgery is more beneficial to the client, such as an infected gallbladder or the need to explore the common bile duct. I can have your health care provider talk with you again if you have more specific questions.".
Rationale: The surgeon determines whether a laparoscopic procedure is workable for each client. This decision is based upon many factors, including prior surgeries, infection of the gallbladder, the need to explore the common bile duct, and so on. Laparoscopic clients generally heal quicker, with fewer postoperative complications.
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