Gastrointestinal System Disorders Q 334 - Gyan Darpan : Learning Portal
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Sunday, 10 April 2022

Gastrointestinal System Disorders Q 334

Gail is scheduled for a cholecystectomy. After completion of preoperative teaching, Gail states,” If I lie still and avoid turning after the operation, I’ll avoid pain. Do you think this is a good idea?” What is the best response?
    A. “You’ll need to turn from side to side every 2 hours.”
    B. “It’s always a good idea to rest quietly after surgery.”
    C. “The doctor will probably order you to lie flat for 24 hours.”
    D. “Why don’t you decide about activity after you return from the recovery room?”

Correct Answer: A. “You’ll need to turn from side to side every 2 hours.”

To prevent venous stasis and improve muscle tone, circulation, and respiratory function, encourage her to move after surgery. Insufflation of the abdominal cavity with carbon dioxide during laparoscopic surgery increases abdominal pressure, which may cause stasis of the blood flow in inferior vena cava and common iliac veins. Moreover, the reverse Trendelenburg position, in which laparoscopic cholecystectomy is performed, decreases venous return.

Option B: The patient may need to walk around the same day of surgery, or the day after. The movement will help prevent blood clots. She may also be given exercises to do in bed. The patient should not get out of bed on her own until the healthcare provider says you can. She should talk to healthcare providers before she gets up the first time. They may need to help the patient stand up safely.
Option C: The patient should take deep breaths and cough 10 times each hour. This will decrease the risk of a lung infection. She should take a deep breath and hold it for as long as she can. Let the air out and then cough strongly. Deep breaths help open the airway. The patient may be given an incentive spirometer to help take deep breaths.
Option D: The patient may be taken to a recovery room, where she will stay until she is fully awake. Healthcare providers will watch closely for problems. She should not attempt to get out of bed until the healthcare provider says it is okay. When healthcare providers see that she is okay, she will be taken back to a hospital room.

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