What statement by the client undergoing cholecystectomy indicates a need for further education?

• A. "I need to use the incentive spirometer every 4 hours."
• B. "I should avoid eating solid food after midnight."
• C. "I will need assistance after surgery for mobility."
• D. "I understand the importance of deep breathing exercises."

Answer: (A)

The statement about using the incentive spirometer every 4 hours indicates a need for further education because it does not align with standard postoperative care practices. Patients are typically encouraged to use the incentive spirometer frequently, often every hour while awake, to promote lung expansion and prevent complications such as atelectasis, especially after surgery involving anesthesia. The intention is to reinforce deep breathing and lung function as a crucial part of recovery. Educating the client on the importance of regular usage of the spirometer would help optimize their recovery and minimize respiratory complications.

In contrast, the statements about avoiding solid food after midnight before surgery and needing assistance for mobility post-surgery both reflect an understanding of preoperative and postoperative protocols. The mention of deep breathing exercises indicates an awareness of the importance of respiratory health in recovery.