After the physician has performed a liver biopsy, the nursing interventions would usually include
a. allowing the patient to get up to use the bathroom if he desires.
b. keeping the patient on the right side for minimum of 2 hours.
c. taking vital signs every 4 hours.
d. keeping the patient on the left side for minimum of 4 hours.
B
Keep the patient lying on the right side for minimum of 2 hours to splint puncture site. It compresses the liver capsule against the chest wall to decrease the risk of hemorrhage or bile leak.
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a. Urethral obstruction c. Stress incontinence b. Urinary retention d. Severely impaired skin integrity
For which patient would the nurse anticipate oral replacement therapy would be contraindicated?
a. An 18-year-old with mild diarrhea b. A 35-year-old with constipation c. A 65-year-old with a bowel perforation d. A 50-year-old with flu-like symptoms
A nurse is caring for a client who is undergoing peritoneal dialysis. The nurse notes the color of the effluent to appear cloudy. What is the nurse's best action?
A. Irrigate the peritoneal catheter. B. Notify the health care provider. C. Document the finding as the only action. D. Change the dialysate.
After receiving a factor VIII concentrate, a patient with hemophilia gasps, "My chest has gotten so tight I can barely breathe." Which drug would the nurse anticipate administering?
1. Diphenhydramine 2. Human albumin 3. Epinephrine 4. Norepinephrine