An adult client is receiving care on a medical unit shortly after undergoing a percutaneous liver biopsy. Upon entering the room, the practical nurse observes that the client is resting flat on their back and reporting mild soreness in the right upper abdomen. Which of the following positioning actions is the priority for the practical nurse to implement?
- AMaintain the flat supine position and immediately administer a prescribed analgesic for the abdominal soreness.
- BElevate the head of the bed to 90 degrees to facilitate diaphragmatic excursion and reduce abdominal tension.
- Assist the client to roll onto their right side and place a small towel under the biopsy site.Cevap
- DPosition the client on their left side with the knees flexed to relax the abdominal musculature.
Cevap
Assist the client to roll onto their right side and place a small towel under the biopsy site.
Following a percutaneous liver biopsy, the client is at significant risk for internal bleeding because the liver is a highly vascular organ. Assisting the client onto their right lateral decubitus position and placing a rolled towel directly under the puncture site applies localized pressure to the liver capsule against the chest wall. This mechanical pressure is critical for facilitating hemostasis and preventing hemorrhage, making it the highest priority action for basic care and comfort in this scenario.
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Anahtar Kavram
Post-Procedure Positioning and Hemorrhage Prevention
Tahmini Süre:1m 15s