A client with cirrhosis is due to have a liver biopsy performed. What will the monitor this client for at the bedside following the procedure?
1. Dyspnea
2. Fever
3. Bleeding
4. Airway obstruction
Correct Answer: 3
Rationale 1: Dyspnea could occur, but it is not the priority condition for which the nurse should monitor.
Rationale 2: The nurse does not need to remain at the bedside after the procedure to assess for fever.
Rationale 3: Several clotting factors are made by the liver. The client should be monitored for bleeding.
Rationale 4: Airway obstruction should not occur secondary to a liver biopsy.
Global Rationale: Several clotting factors are made by the liver. The client should be monitored for bleeding. Dyspnea could occur, but it is not the priority condition for which the nurse should monitor. The nurse does not need to remain at the bedside after the procedure to assess for fever. Airway obstruction should not occur secondary to a liver biopsy.
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