Question

I think the answer 2. Can you explain why you choose the answer and not the other options please?

A client who has had a laparoscopic examination 4 hours ago is complaining of upper abdominal pain radiating to the shoulder. The nurse should realize that the client's pain is most likely © O 1. a sign of possible visceral perforation 2 a sign of retained gallstones in the common bile duct 3. an expected response to the carbon dioxide used during surgery 4. a reaction to the dye used in the postoperative cholangiogram O 0

Answer 1

Answer: A sign of retained gallstones in the common bile duct.

( In this case of gallstone, there is presence of pain near the upper abdominal and arm. This pain also reaches to the shoulder too. Cholecystitis is often occurs in the patient having long term gallstone disease. This causes gallbladder inflammation which results in to pain. The pain occurs in the right upper quadrant. The more symptoms related to it is fever, fatigue, nausea etc. )