A nurse is teaching students about the use of isotonic solutions. The nurse recognizes which statements made by a student about isotonic solutions are correct. (SELECT ALL THAT APPLY)

A. Instruct the client that they can lift over 20 lbs:

Lifting heavy objects should be avoided postoperatively to prevent strain on the surgical site. The specific weight restriction may vary, but lifting heavy objects is generally discouraged.

B. Offer the client ice cream postoperatively:

While offering ice cream may be a comforting measure, it is not a specific action related to the recovery from a laparoscopic cholecystectomy.

C. Encourage ambulation once fully awake:

This is the correct action. Encouraging ambulation helps prevent complications such as blood clots and promotes recovery after laparoscopic surgery. Early mobility is generally encouraged unless contraindicated for specific reasons.

D. Place the client in a supine position postoperatively:

The position of the client postoperatively depends on the specific surgical procedure and the surgeon's preferences. However, placing the client in a supine position alone is not a comprehensive postoperative care action.

Correct answer: A

A. Bear down:

Bear down: Asking the clientto bear down gently (as if to void) helps to expose urethral meatus.Bearing down simulates the act of urination and helps open the urethra.

B. Exhale slowly:

While exhaling slowly might help the client relax, it does not specifically assist with the insertion of the catheter as effectively as bearing down.

C. Contract the pelvic muscles:

Contracting the pelvic muscles (such as squeezing or tightening) might make catheter insertion more challenging by tensing the area where the catheter needs to pass through.

D. Take a sip of water:

Drinking water is not typically instructed during urinary catheter insertion, as it's unrelated to the process and might increase discomfort.