Question

Difficulty: MediumBasic Care and Comfort

Following a percutaneous liver biopsy, a client is transferred back to the medical-surgical unit for recovery. To minimize the risk of hemorrhage from the puncture site, what is the most appropriate position for the nurse to place the client in?

  1. Right side-lying position with a small towel or pillow placed beneath the puncture siteAnswer
  2. B
    Left side-lying position with the right leg slightly flexed and supported by a pillow
  3. C
    Supine position with the head of the bed elevated to 45 degrees and knees flat
  4. D
    Prone position with the arms resting comfortably above the head

Answer

Right side-lying position with a small towel or pillow placed beneath the puncture site
Following a percutaneous liver biopsy, the client is at high risk for internal bleeding because the liver is a highly vascular organ located on the right side of the abdomen. Placing the client in a right side-lying position with a small towel or pillow beneath the puncture site applies direct, continuous anatomical pressure to the liver capsule. This mechanical compression promotes hemostasis and significantly reduces the risk of hemorrhage.

Step-by-Step Solution

1
Identify the primary complication associated with a percutaneous liver biopsy.
The liver is highly vascular, making hemorrhage the most significant post-procedure risk.
Understanding the anatomical risks dictates the priority nursing intervention.
2
Determine the physiological mechanism needed to prevent this complication.
Direct external pressure must be applied to the puncture site on the right side of the body.
Mechanical compression promotes hemostasis and clot formation at the site.
3
Select the client position that utilizes body weight to achieve this mechanism.
The right side-lying position with a towel or pillow under the site provides the necessary continuous pressure.
This specific positioning uses gravity and the client's own weight to compress the liver capsule.

Key Concept

Post-procedure positioning to prevent hemorrhage following a liver biopsy
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