Examkin

Soru

Zorluk: KolayReduction of Risk Potential

A client is transferred back to the medical unit following a percutaneous liver biopsy. The nurse is assisting the client into bed. To minimize the risk of post-procedure hemorrhage, which position should the nurse place the client in?

  1. Right lateral decubitus position with a small towel under the puncture siteCevap
  2. B
    Left lateral decubitus position with the head of the bed flat
  3. C
    Supine position with the lower extremities elevated
  4. D
    High-Fowler's position to promote optimal chest expansion

Cevap

The client should be placed in the right side-lying (right lateral decubitus) position with a small towel or pillow under the puncture site.
Following a percutaneous liver biopsy, the most significant immediate risk is hemorrhage due to the high vascularity of the liver. Because the liver is located on the right side of the abdomen, placing the client in a right side-lying (right lateral decubitus) position with a towel or small pillow under the puncture site is essential. This position utilizes the client's own body weight to apply direct, continuous mechanical pressure to the liver capsule, which promotes hemostasis and significantly reduces the risk of internal bleeding.

Adım Adım Çözüm

1
Identify the anatomical location of the liver.
The liver is a highly vascular organ situated in the right upper quadrant of the abdomen.
Understanding the anatomy dictates where pressure must be applied.
2
Determine the primary post-procedure complication.
The most significant immediate risk following a liver biopsy is internal hemorrhage.
The liver's extensive blood supply makes it prone to bleeding when punctured.
3
Select the position that mitigates this risk.
Positioning the client on their right side uses body weight to apply direct pressure to the liver capsule.
Mechanical compression at the puncture site promotes blood clotting and reduces bleeding risk.

Anahtar Kavram

Post-Liver Biopsy Positioning
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Konular

Reduction of Risk Potential

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