The nurse is caring for a client following a liver biopsy. Which of the following is a recommended postoperative intervention?
A) Position the client on the left side.
B) Apply pressure to the biopsied side for 4 to 6 hours.
C) Take vital signs hourly for 24 hours.
D) Observe the client for signs of dehydration.
B
Feedback:
Following a liver biopsy, the nurse should position the client on the right side and apply pressure to the biopsied site (usually the right side) for 4 to 6 hours, using a sandbag or folded bath blanket to help prevent bleeding. The nurse should take vital signs every 15 minutes for 1 hour; every 30 minutes for 4 hours; and then hourly for 8 hours and observe the client closely for signs of bleeding. Hemorrhage may be into the abdomen (watch for signs of shock) or from the puncture site.
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