11. Discharge teaching for the client following a laparoscopic cholecystectomy includes:
. Take a shower but do not soak in the bathtub.
. Change wet-to-dry dressings 2 times a day.
. Milk any clots from the bile drainage tube every 2 hours.
. Remain on bedrest for 3 days.
Test-Taking Tip
Look for the option that is different than the other choices. Only one is consistent with the advantages of the laparoscopic approach—four less than ½-inch incisions that didn't need wet-to-dry dressings or a drainage tube or 3 days of bedrest.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Self-care
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Answer 1 is correct because, while it is important to keep the skin clean, soaking in a tub can soften the skin closure and allow microbes to enter the wound. It is better to suggest that the client take a shower rather than a bath. Answer 2 is incorrect because, unless there have been complications, the client will have four small closed wounds, and will not need wet-to-dry dressing changes. Answer 3 is incorrect because, unless there were complications, the client will have four small closed wounds and will not have a drainage tube. Answer 4 is incorrect because mobility is very important for the client in the postoperative period to prevent risks such as blood clots and infections.