The nurse is caring for a patient who is undergoing a liver biopsy. Which interventions will be included in the patient's care plan for the diagnosis of Risk for infection: r/t invasive diagnostic procedure? (Select all that apply.)
a. Monitor for and report redness, warmth, discharge, or fever promptly to the physician.
b. Carefully maintain the sterile field during the biopsy procedure.
c. Teach patient how to care for the biopsy site when procedure is completed.
d. Provide a supportive, caring presence to minimize patient anxiety.
e. Provide information about the pathophysiology and treatment options for liver cancer.
f.
Consider using healing touch and other mind-body-spirit interventions.
ANS: A, B, C
Interventions for the nursing diagnosis of Risk for infection involve monitoring for signs and symptoms of infection, preventing contamination of supplies by maintaining a sterile field during the procedure, and teaching the patient how to care for the site afterward. Providing a caring presence, providing information about liver cancer, and using healing touch may be helpful for the patient but will not minimize the risk of infection.
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