A nurse is finalizing the plan of care for a client who is scheduled to undergo a bedside percutaneous liver biopsy. Identify the actions the nurse must implement to minimize the client's risk for procedure-related complications. (Select all that apply.)
- Verify that the client's most recent prothrombin time and platelet count are within acceptable parameters.Answer
- Instruct the client to exhale and hold their breath when the biopsy needle is inserted.Answer
- CAssist the client into a left lateral position immediately following the procedure.
- DPerform deep abdominal palpation every 15 minutes post-procedure to assess for hematoma formation.
- Maintain the client on strict bed rest for the prescribed duration following the biopsy.Answer
Answer
The correct interventions are verifying coagulation parameters, instructing the client on the exhalation and breath-holding technique, and enforcing post-procedure bed rest.
The correct actions involve reducing bleeding and puncture risks. Verifying coagulation studies ensures the client's blood can clot normally. Having the client hold their breath after exhaling elevates the diaphragm, protecting the lungs. Maintaining bed rest ensures the newly formed clot at the puncture site is not disrupted.
Step-by-Step Solution
Key Concept
Reduction of Risk Potential: Liver Biopsy Complications
Estimated Time:1m 0s