James is scheduled to undergo a liver biopsy today. His workup showed suspicious results involving his liver
a. What is a percutaneous liver biopsy?
b. What does it tell the physicians?
c. What nursing care will James need?
d. What will you focus your assessment on?
Students' answers should include the following:
a. Needle biopsy through the liver, obtaining a small core sample of liver
Tissue is examined microscopically.
b. Shows microscopic changes, infectious processes, cirrhosis, other liver abnormalities, or even rejection if the liver is a transplant
Coagulation studies will be done before and especially after surgery due to bleeding, being a major complication.
Client is placed on right side for procedure and is kept on this side for 2 hours after.
c. Bed rest for 8 to 12 hours.
Avoid coughing or straining.
Monitor vital signs for bleeding.
Assess respiratory status.
Chest pain
Fever, weakness
Heart sounds, diaphoresis
d. Monitor site for bleeding, hematoma, and swelling (bleeding is an issue).
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