Question

A client discharged after a laparoscopic cholecystectomy calls the surgeon’s office reporting severe right shoulder pain 24 hours after surgery. Which statement is the correct information for the nurse to provide to this client?a.This pain is caused from the gas used to inflate your abdominal area during surgery. Sitting upright in a chair, walking, or using a heating pad may ease the discomfort.
b. This pain is caused from your incision. Take analgesics as needed and as prescribed and report to surgeon if pain is unrelieved even with analgesic use.

c. This may be the beginning symptoms of an infection. You need to come to see the surgeon today for an evaluation.

d. This pain may be caused by a bile duct injury. You will need to go to the hospital immediately to have this evaluated.

Answer 1

Answer: A. This pain is caused from the gas used to inflate your abdominal area during surgery. Sitting upright in a chair, walking, or using a heating pad may ease the discomfort.

Explanation: If pain occurs within the right shoulder or scapular area the nurse may recommend employing a hot pad for 15 to 20 minutes hourly, sitting up during a bed or chair, or walking

Answer 2

Answer:

A. This pain is caused from the gas used to inflate your abdominal area during surgery. Sitting upright in a chair, walking, or using a heating pad may ease the discomfort.

Explanation:

Laparoscopic cholecystectomy can be explained as a surgery that involves the removal of the gallbladder. This usually involves the insertion of a narrow tube with camera, which is known as laparoscope, through one of the incisions , to enable the doctor to view the gallbladder on the screen.

In this case, the nurse may recommend to the client to use a heating pad for 15 to 20 minutes hourly, sitting up in a bed or chair, or walking, when pain occurs in the right shoulder or scapular area.