The nurse provides discharge instructions to a client one day after laparoscopic cholecystectomy. Which statement by the client indicates that further teaching is required?

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11ecbb05_c9ac_fb26_b433_997a68df3ae6_MD0009_00 A laparoscopic cholecystectomy is the safest and most commonly used procedure for gallbladder removal. A laparoscope and grasping forceps are inserted through small punctures made in the abdomen. The procedure is associated with decreased postoperative pain, better cosmetic results, shorter hospital stays, and fewer days for recovery versus the open technique. Postoperative teaching includes: Diet - a low-fat diet is recommended postoperatively as it is well tolerated. A regular diet can be resumed after a few weeks although weight loss may be recommended (Option A). Activity and work - resume normal activity slowly, as tolerated. Most individuals can return to work within a week (Option B). Incision care and hygiene - dressings can be removed the day after surgery, and showering is permitted at this time. Signs and symptoms of infection (redness, edema, pus, severe pain, nausea, fever, chills) should be reported immediately (Option C). (Option D) Surgical bandages can be removed the day after surgery, and the client may shower at this time. Baths are not permitted as they may introduce infection into the surgical sites. Once the incisions are healed, baths may be resumed. Educational objective: A laparoscopic cholecystectomy enables clients to recover and resume normal activities more quickly than an open surgical technique. Clients should be taught to remove surgical bandages the day after surgery; showering may be resumed at this time. Clients should increase activity slowly and eat a low-fat diet.

The Nurse Provides Discharge Instructions to a Client One Day