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Zorluk: KolayBasic Care and Comfort

A practical nurse is providing care for a client who has just returned to the unit following a percutaneous liver biopsy. The nurse is preparing to assist the client into a resting position. Which position is most appropriate to promote client safety and prevent bleeding complications?

  1. Right side-lying position with a small towel roll placed under the puncture siteCevap
  2. B
    Left side-lying position with the head of the bed elevated 45 degrees
  3. C
    Supine position with the knees slightly flexed and a pillow under the head
  4. D
    Prone position with a soft pillow positioned under the abdomen

Cevap

The client should be placed in a right side-lying position with a small towel roll beneath the puncture site.
After a percutaneous liver biopsy, the most critical intervention is preventing hemorrhage because the liver is highly vascular. The liver is located on the right side of the body. Placing the client in a right side-lying (lateral) position uses their own body weight to apply direct, continuous pressure to the puncture site. A small towel or pillow placed directly under the site provides additional localized compression to promote hemostasis.

Adım Adım Çözüm

1
Identify the procedure performed and its anatomical location.
The client had a liver biopsy. The liver is located on the right side of the upper abdomen.
Understanding the anatomy is essential to determine where direct pressure must be applied.
2
Determine the primary post-procedure risk.
The greatest risk following a percutaneous liver biopsy is internal bleeding (hemorrhage) from the puncture site.
The liver is a highly vascular organ and bleeds easily when punctured.
3
Select the position that best mitigates this risk.
The right side-lying position applies the client's own body weight against the bed to create direct pressure on the liver.
Continuous direct pressure promotes hemostasis and prevents bleeding complications.

Anahtar Kavram

Post-procedure positioning to prevent hemorrhage following a liver biopsy.
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