A practical nurse is assisting with the transfer of a client who has just returned to the clinical unit following a percutaneous right liver biopsy. The client reports mild discomfort at the puncture site. The client's blood pressure is 112/68 mm Hg, and the heart rate is 88 beats per minute. Which position should the practical nurse assist the client into for the initial recovery phase?
- A right side-lying position with a small rolled towel placed directly under the puncture siteCevap
- BA left side-lying position with the head of the bed elevated 30 degrees to promote optimal chest expansion
- CA strict supine position with a pillow under the knees to decrease abdominal wall tension
- DA semi-Fowler's position to prevent aspiration while the client recovers from procedural sedation
Cevap
The correct position is a right side-lying position with a small rolled towel placed directly under the puncture site.
Following a percutaneous liver biopsy, the primary risk is hemorrhage because the liver is a highly vascular organ. Placing the client in a right side-lying position with a small towel or pillow under the puncture site applies direct external pressure to the liver capsule and the biopsy tract. This pressure promotes hemostasis and significantly reduces the risk of internal bleeding.
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Post-procedural positioning for a liver biopsy to prevent hemorrhage