A 54-year-old client with chronic hepatitis C has just arrived at the medical-surgical unit after undergoing a percutaneous liver biopsy. The client is alert and reports mild discomfort at the biopsy site. Initial vital signs are stable, with a blood pressure of 118/78 mm Hg, heart rate of 82 beats per minute, and oxygen saturation of 98% on room air. Which of the following actions is the priority to minimize the client's risk of immediate post-procedure complications?
- Position the client in a right lateral decubitus position with a folded towel under the puncture site.Cevap
- BElevate the head of the bed to a high-Fowler's position to prevent respiratory depression.
- CDirect the unlicensed assistive personnel to monitor the client's vital signs every 15 minutes.
- DObserve the client for a widening pulse pressure as the primary early sign of internal hemorrhage.
Cevap
Position the client in a right lateral decubitus position with a folded towel under the puncture site.
The liver is a highly vascular organ, and hemorrhage is the most critical risk following a percutaneous biopsy. Positioning the client on the right side (where the liver is located) with a folded towel or pillow underneath provides direct mechanical pressure to the puncture site, facilitating hemostasis and preventing bleeding.
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Post-procedure risk mitigation for liver biopsy