MEDizzy - A client with an incisional cholecystectomy has a nursing

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A client with an incisional cholecystectomy has a nursing diagnosis of ineffective breathing pattern related to splinted, shallow respirations secondary to a high abdominal incision. The client is refusing to get out of bed. The nurse should first:

ExplanationAbdominal incisions are painful. The nurse’s first action is to administer pain medication to promote deep breathing and to assist the client in getting out of bed, which decreases the risk of postoperative complications such as atelectasis and pneumonia. The nurse assesses lung sounds more frequently in the postoperative period. Clients with abdominal pain will find it difficult to take deep breaths and cough. The first step is to relieve the pain so the client can get out of bed and then do deep-breathing and coughing exercises. The head of bed is elevated to promote lung expansion.