A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

"The pain is caused from the nitrous dioxide injected into the abdomen."

"The pain results from lying in one position too long during surgery."

"The pain occurs as a residual pain from cholecystitis."

"The pain will dissipate if you ambulate frequently."

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

A. Drinking orange juice regularly:Citrus juices are acidic and can relax the lower esophageal sphincter and directly irritate the esophagus, worsening reflux and heartburn.

B. Sleeping on a large wedge-style pillow:Sleeping upright or with head elevated reduces nighttime reflux by using gravity to keep gastric contents in the stomach - this is helpful, not a contributor.

C. Consuming low-fat meats:Low-fat meats decrease gastric emptying delay related to fatty meals and reduce reflux risk; they are generally not a contributing factor.

D. Eating dinner early in the evening:Eating earlier (allowing 2–3 hours before lying down) reduces reflux at night; this is protective rather than contributory.

A. Increase the client's sodium intake. B. Increase the client's saturated fat intake. C. Decrease the client's fluid intake. D. Decrease the client's carbohydrate intake.

Correct Answer is C

Explanation

A. Increase the client's sodium intake:Increased sodium promotes fluid retention and worsens ascites.

B. Increase the client's saturated fat intake:Increased saturated fat is not beneficial and may worsen overall nutrition/metabolic status; focus is on balanced nutrition.

C. Decrease the client's fluid intake:Fluid restriction may be recommended for clients with hyponatremia or refractory ascites to help control fluid overload; it is a commonly used intervention when indicated. (Note: the primary and universal intervention is sodium restriction; fluid restriction is used selectively based on sodium status and provider orders.)

D. Decrease the client's carbohydrate intake:Restricting carbohydrates is not a standard intervention for ascites; overall adequate calories with protein (unless contraindicated) and sodium restriction are more important.

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A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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