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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is caring for a client who had a laparoscopic cholecystectomy and is experiencing abdominal distention. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Paracentesis is indicated for the removal of ascitic fluid, not for postoperative gas distention. It is inappropriate after a laparoscopic procedure unless ascites or fluid accumulation is confirmed. B. The prone position can impede ventilation and increase abdominal pressure; it does not help relieve gas distention. C. While a rectal suppository may aid bowel movement, it is not the first-line intervention for postoperative gas pain or distention. D. Assisting the client to ambulate promotes the passage of flatus and relieves gas pain resulting from insufflation of carbon dioxide used during laparoscopy. Early ambulation enhances bowel motility and reduces abdominal distention.

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