The nurse is caring for a patient immediately following a liver biopsy. Which actions are appropriate for the nurse to take? (select all that apply.)

a. Position the patient on the right side.
b. Assess the patient's pain.
c. Monitor vital signs every 15 minutes for the first hour.
d. Instruct patient to cough and deep-breathe.
e. Assess for hematoma at puncture site.


A, B, C, E
The liver biopsy is performed under local or general anesthesia. Postprocedural care will include positioning on the right side for the first 2 hours, and assessing pain, vital signs and the puncture site. The patient should not cough as it increases intra-abdominal pressure and may stimulate bleeding.

Nursing

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A community health nurse is preparing for a presentation on disabilities and is planning to include information about Healthy People 2020 goals. When addressing these goals, the nurse identifies differences from the goals addressed by Healthy People 2000

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