A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Instruct the client to remain on bed rest for the first 24 hr: Strict bed rest is not recommended after a laparoscopic cholecystectomy because early ambulation helps reduce the risk of atelectasis, venous thromboembolism, and postoperative gas pain. Keeping the client immobile can delay recovery and contribute to complications. B. Instruct the client to consume foods high in fat: High-fat foods can trigger abdominal discomfort and diarrhea after gallbladder removal because bile secretion is no longer regulated. Clients are advised to begin with low-fat meals to prevent gastrointestinal distress while the body adjusts to continuous bile flow. C. Instruct the client to cough and breathe deep every hour: Deep breathing and coughing exercises help prevent postoperative pulmonary complications, especially atelectasis from anesthesia and reduced mobility. Encouraging these exercises hourly promotes lung expansion, clears secretions, and supports optimal respiratory function during recovery. D. Instruct the client to avoid taking a shower for 1 week: Most clients may shower within 24–48 hours after a laparoscopic procedure once dressings are removed, provided incisions are clean and dry. Restricting showers for an entire week is unnecessary and may hinder comfort and hygiene without providing additional protection to the incision sites.