A client is recovering from a liver biopsy. What should the nurse do when caring for this client after the procedures?
1. Instruct the patient to avoid deep breathing to prevent liver pressure.
2. Check the client's coagulation time.
3. Elevate the head of the bed.
4. Have the client lie on the right side with the bed flat.
Answer: 4
1. Deep breathing, but not coughing, is advised.
2. Coagulation time is checked prior to the procedure.
3. Elevating the head of the bed will not place enough pressure on the liver to prevent bleeding.
4. 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.
You might also like to view...
Which event would likely improve a nurse's position power within an organization?
1. The nurse is promoted to nurse manager. 2. The nurse is voted "most likable" as part of a Nursing Day celebration. 3. The nurse has just graduated from a master's program in nursing. 4. The nurse's wife has just been elected to the town council.
The nurse is planning interventions to prevent the onset of urinary retention in a postpartum patient. Why are these interventions needed?
A) Frequent partial voiding never relieves the bladder pressure. B) Catheterization at the time of delivery reduces bladder tonicity. C) Mild dehydration causes a concentrated urine volume in the bladder. D) Decreased bladder sensation results from edema because of pressure of birth.
A sexually active adolescent is scheduled for a pelvic examination. What should the nurse do to help the patient relax during the examination?
A) Show her a speculum prior to the exam. B) Assure her that no part of the exam will hurt. C) Coach her to hold her breath during the exam. D) Advise her to keep one hand on her abdomen.
The client has an arterial blood gas pH of 7.42 . How should the nurse interpret this client's acid-base status?
A. The client has no blood hydrogen ions. B. The client has a normal blood hydrogen ion concentration. C. The client has a deficit in the blood hydrogen ion concentration. D. The client has an excess in the blood hydrogen ion concentration.