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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam
    Select All That Apply

    The nurse has reviewed the Nurses Notes and Vital Signs from Day 2 at 0730 The nurse is reinforcing discharge teaching with the client. Select the 3 client statements that indicate the teaching was effective.

    Explanation & Rationale

    A. “I can take a bath today when I get home.”: Immersing the incision in water too soon increases the risk of infection. Clients are typically advised to shower rather than bathe until the incision has sufficiently healed. B. “I can apply ice for my incisional pain if needed.”: Applying ice or cold packs to the surgical site can help reduce pain and inflammation. This is an appropriate self-care strategy for managing post-laparoscopic cholecystectomy discomfort. C. “I should rest for the first 24 hours after surgery.”: Adequate rest immediately following surgery supports healing, reduces the risk of complications, and allows the client to recover from anesthesia. This statement reflects proper understanding of postoperative care. D. “I can resume usual activities gradually over a week.”: Gradual resumption of normal activities prevents strain on the incision and supports recovery. Clients are encouraged to increase activity slowly as tolerated, reflecting appropriate teaching. E. “I will now be able to tolerate multiple greasy foods.”: After cholecystectomy, the client may need to avoid high-fat foods initially because digestion is temporarily impaired. This statement indicates a misunderstanding of dietary restrictions. F. “I will have a drain in place near my incision.”: Laparoscopic cholecystectomy usually does not require a drain unless complications arise. Expecting a drain reflects inaccurate understanding of the typical procedure.

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