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Question

Difficulty: EasyReduction of Risk Potential

A nurse receives a client who has just returned to the medical unit following a percutaneous liver biopsy. To minimize the risk of post-procedure bleeding, which of the following positions should the nurse assist the client into?

  1. Right side-lying position with a small towel or pillow under the puncture siteAnswer
  2. B
    Left side-lying position with the head of the bed elevated 30 degrees
  3. C
    Supine position with the knees flexed and a pillow under the legs
  4. D
    High Fowler's position with both legs extended flat on the bed

Answer

The correct action is to assist the client into a right side-lying position with a small towel or pillow under the puncture site.
The correct position applies the client's own body weight against the bed to create direct pressure on the liver, which is located in the right upper quadrant. This localized pressure is crucial for achieving hemostasis and preventing post-procedure hemorrhage.

Step-by-Step Solution

1
Identify the anatomical location of the procedure.
The liver is located in the right upper quadrant of the abdomen.
Knowing the organ's location is essential for determining how to apply pressure to the procedural site.
2
Determine the primary post-procedure risk.
Bleeding or hemorrhage is the most significant risk following a highly vascular procedure like a liver biopsy.
Risk reduction relies on anticipating and preventing specific procedural complications.
3
Select the position that mitigates this risk.
The right side-lying position applies the client's body weight over the site.
Direct pressure promotes hemostasis at the puncture site.

Key Concept

Post-procedure positioning to prevent hemorrhage
Estimated Time:1m 0s
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Topics

Reduction of Risk Potential

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