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 occurs as a residual pain from cholecystitis."

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

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

"The pain will dissipate if you ambulate frequently."

Answer and Explanation

The Correct Answer is D

A.   Postoperative pain typically resolves after a laparoscopic cholecystectomy since the surgery removes the gallbladder
B.   While positioning during surgery can cause discomfort, isolated right shoulder pain is more commonly attributed to the diaphragmatic irritation from residual nitrous oxide in the abdomen.

C.   Nitrous dioxide used during laparoscopic procedures is not associated with referred pain to the right shoulder. The pain is due to carbon dioxide gas used during the procedure resulting in the irritation of the diaphragm.
D.   This pain is often due to the carbon dioxide used to inflate the abdomen during surgery, which can irritate the diaphragm and refer pain to the shoulder. Ambulation helps to absorb the gas more quickly.

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Correct Answer is C

Explanation

A. Lemon-glycerin swabs can dry out and irritate oral tissues, increasing the risk of oral mucositis and infection.
B. Using a firm toothbrush may be too harsh for irritated mucous membranes and can increase the risk of injury and bleeding.
C. Gentle oral care is essential to avoid further irritation of the mucous membranes.

D. Flossing may be too abrasive for irritated mucous membranes and can increase the risk of bleeding and injury.

A. Maintain a low carbohydrate diet. B. Reduce intake of foods high in potassium. C. Eliminate ingestion of foods high in protein. D. Increase intake of sodium-containing food.

Correct Answer is B

Explanation

A. While controlling carbohydrate intake may be beneficial for managing blood glucose levels in some cases, it is not a primary dietary concern for chronic kidney disease.
B. Patients with chronic kidney disease often need to limit potassium intake because the kidneys may have difficulty excreting excess potassium, leading to hyperkalemia.
C. While protein restriction may be necessary in advanced stages of chronic kidney disease to reduce the workload on the kidneys, complete elimination of protein is not recommended.
D. Sodium restriction is often recommended for patients with chronic kidney disease to help control blood pressure and fluid balance.

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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?

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