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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?

    Explanation & Rationale

    A. "I should eat a high-fat diet for several weeks." After a laparoscopic cholecystectomy, clients are typically advised to follow a low-fat diet for several weeks to help their bodies adjust to the absence of the gallbladder. The gallbladder stores bile, which aids in the digestion of fats. Without it, a high-fat diet can lead to gastrointestinal discomfort, including cramping and diarrhea. Gradually reintroducing fats based on tolerance is recommended. B. "I should expect to have diarrhea until my diet changes." While some clients may experience temporary diarrhea after surgery, it is not a universal side effect. Changes in bowel habits can occur due to alterations in bile flow, but not all clients will have diarrhea. Maintaining a balanced diet and gradually increasing fiber intake can help regulate bowel movements and minimize gastrointestinal disturbances. C. "I should leave my steri-strips on until they fall off." Steri-strips, or adhesive strips used to secure the incision, should be left in place until they naturally fall off, which usually occurs within one to two weeks. Removing them prematurely can compromise the healing process and increase the risk of infection or wound dehiscence. D. "I should expect to have nausea for several days." Nausea can occur after surgery due to anesthesia, but it should not persist for several days. While some postoperative nausea is normal, ongoing or severe nausea may indicate a complication, such as an adverse reaction to medication or an underlying issue, and should be communicated to the healthcare provider for further evaluation and management.

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