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Soru

Zorluk: OrtaBasic Care and Comfort

A client is transferred back to the medical-surgical unit after undergoing a percutaneous liver biopsy. To promote hemostasis and prevent complications, which of the following positions is most appropriate for this client?

  1. Right side-lying position with a folded towel under the puncture siteCevap
  2. B
    Left side-lying position with the right knee drawn up toward the chest
  3. C
    Semi-Fowler's position with the head of the bed elevated 45 degrees
  4. D
    Supine position with the lower extremities elevated on pillows

Cevap

Right side-lying position with a folded towel under the puncture site
The liver is a highly vascular organ located in the right upper quadrant of the abdomen, making bleeding the most significant risk following a biopsy. Positioning the client on their right side (often with a small towel or pillow tucked under the puncture site) utilizes the client's own body weight to apply continuous, direct pressure to the liver capsule. This splinting action is a fundamental care intervention that promotes hemostasis and prevents severe internal hemorrhage.

Adım Adım Çözüm

1
Identify the anatomical location of the procedure.
The liver is located in the right upper quadrant of the abdomen.
Knowing the organ's precise location dictates where external pressure must be applied.
2
Determine the primary physiological risk following the procedure.
Because the liver is a highly vascular organ, hemorrhage is the most significant immediate complication after a biopsy.
Identifying the primary risk guides the nurse in selecting the most critical basic care intervention.
3
Select the position that best mitigates the identified risk.
The right side-lying position is chosen.
This position uses the client's body weight against the mattress (often enhanced by a folded towel) to compress the liver, promoting clot formation and hemostasis.

Anahtar Kavram

Post-procedure positioning to prevent hemorrhage
Tahmini Süre:1m 0s
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Konular

Basic Care and Comfort

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