16. A client reports pain in the right shoulder following a laparoscopic cholecystectomy. A nurse explains that the pain is related to:
16. A client reports pain in the right shoulder following a laparoscopic cholecystectomy. A nurse explains that the pain is related to:
. Migration of the gas used to insufflate the abdomen during the procedure.
. Nerve irritation from the leakage of bile.
. Strain on the shoulder due to a right side-lying position during the procedure.
. Referred pain from an obstructed common bile duct.
Test-Taking Tip
Focus on the two answers (Answers 1 and 3) that state "during the procedure," then eliminate Answer 3 because the position is incorrect.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
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Answer 1 is correct because right shoulder pain is normal following the laparoscopy. The client should know this before the procedure is done. A heating pad applied for 15 to 20 minutes every hour helps. Answer 2 is incorrect because the pain is due to migration of carbon dioxide, not bile. Answer 3 is incorrect because the client is supine during the procedure, not right side-lying. Answer 4 is incorrect because a laparoscopic cholecystectomy would not have been done if exploration of the common bile duct were necessary or a stone were present.