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    Ati med surg iii proctored exam mdc 2

    A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action?

    Explanation & Rationale

    A. Instruct the client not to lift over 4.5 kg (10 lb): Lifting restrictions are important after surgery, but this is typically for a longer period of time. The client should be instructed not to lift heavy objects for a few weeks, but not necessarily immediately postoperatively. B. Offer the client ice cream postoperatively: After a laparoscopic cholecystectomy, clients may have some digestive discomfort. Ice cream may worsen symptoms like nausea or bloating, so it is not the ideal food immediately post-op. C. Place the client in a supine position postoperatively: It is better for the client to be in a semi-Fowler’s position after surgery to reduce pressure on the abdomen and promote comfort and breathing. A supine position can increase discomfort and should be avoided. D. Encourage ambulation once fully awake: Early ambulation after surgery is encouraged to prevent complications like deep vein thrombosis (DVT) and improve circulation. Once the client is fully awake and stable, they should begin ambulating.

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