Following a percutaneous liver biopsy, a client complains of back stiffness and requests a change in body position. To minimize the risk of internal hemorrhage while addressing the client's comfort needs, how should the practical nurse position this individual?
- Turn the client onto the right side with a folded towel underneath the puncture areaAnswer
- BHelp the client into a semi-seated arrangement with the head elevated forty-five degrees
- CRoll the client onto the left side and place a support pillow between the knees
- DPlace the client facedown to apply uniform abdominal pressure
Answer
The nurse should turn the client onto the right side with a folded towel underneath the puncture area to apply direct pressure to the biopsy site.
The correct position applies localized, direct pressure to the right-sided biopsy site using the client's own body weight and a supportive towel. This is the standard basic care intervention to prevent bleeding from the highly vascular liver while safely accommodating the client's need for a position change.
Step-by-Step Solution
Key Concept
Therapeutic Positioning and Comfort Measures