The nurse assisted the physician with a needle biopsy of the liver. Following the procedure, which action should the nurse take?
A)
Have the client lie on the right side with the bed flat.
B)
Check the client's coagulation time.
C)
Elevate the head of the bed.
D)
Instruct the patient to avoid deep breathing to prevent liver pressure.
A
Explanation:
A)
The client is positioned on the right side, which allows client's own body weight to provide downward pressure against the liver and upward pressure from the mattress; this reduces chances of internal bleeding. Coagulation time is checked prior to the procedure. Deep breathing, but not coughing, is advised.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
The client is positioned on the right side, which allows client's own body weight to provide downward pressure against the liver and upward pressure from the mattress; this reduces chances of internal bleeding. Coagulation time is checked prior to the procedure. Deep breathing, but not coughing, is advised.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
The client is positioned on the right side, which allows client's own body weight to provide downward pressure against the liver and upward pressure from the mattress; this reduces chances of internal bleeding. Coagulation time is checked prior to the procedure. Deep breathing, but not coughing, is advised.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
The client is positioned on the right side, which allows client's own body weight to provide downward pressure against the liver and upward pressure from the mattress; this reduces chances of internal bleeding. Coagulation time is checked prior to the procedure. Deep breathing, but not coughing, is advised.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
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