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
Choice A reason: Preparing for a paracentesis is inappropriate, as abdominal distention post-laparoscopic cholecystectomy is typically due to retained carbon dioxide from insufflation, not ascites. Paracentesis is invasive and unnecessary, risking complications without addressing the cause, making it an incorrect intervention for this scenario. Choice B reason: Assisting the client to ambulate promotes the expulsion of residual gas used during laparoscopic cholecystectomy, relieving abdominal distention. Early mobility enhances circulation, reduces bloating, and prevents complications like ileus, aligning with postoperative care guidelines, making it the most effective and appropriate action. Choice C reason: Inserting a rectal suppository is not indicated, as distention is likely from gas, not constipation, immediately post-cholecystectomy. Suppositories may cause discomfort without resolving gas-related bloating. This intervention is premature and misaligned with the cause, making it inappropriate. Choice D reason: Placing the client in the prone position may worsen discomfort from abdominal distention by compressing the abdomen, trapping gas. Upright or walking positions facilitate gas movement and relief. This position is counterproductive, making it an incorrect choice for managing post-surgical distention.