Which nursing action is most appropriate after a liver biopsy is performed on a patient with cirrhosis?
Elevating the patient’s legs on two pillows
Positioning the patient on the right side
Keeping the patient in a high Fowler’s position
Ambulating the patient twice each shift
The Correct Answer is B
Choice A rationale
Elevating the patient’s legs on two pillows is not typically a necessary action after a liver biopsy. This position does not directly aid in the recovery or prevention of complications related to a liver biopsy.
Choice B rationale
Positioning the patient on the right side after a liver biopsy is a common nursing intervention. This position applies pressure to the liver biopsy site, which can help minimize bleeding and facilitate clot formation at the biopsy site.
Choice C rationale
Keeping the patient in a high Fowler’s position is not typically recommended after a liver biopsy. This position does not provide direct benefits in terms of recovery or prevention of complications from a liver biopsy.
Choice D rationale
Ambulating the patient twice each shift is not typically recommended immediately after a liver biopsy. Rest is usually advised to allow the liver tissue to heal and to minimize the risk of bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Absent bowel sounds are not a symptom of GERD. They may indicate a serious condition such as intestinal obstruction or ischemia.
Choice B rationale
An elevated temperature is not a symptom of GERD. It may indicate an infection or other medical condition.
Choice C rationale
A decreased ammonia level is not a symptom of GERD. It may be seen in conditions such as liver disease.
Choice D rationale
Pain relieved by taking antacids is a common symptom of GERD. Antacids work by neutralizing stomach acid, thereby relieving the burning sensation of heartburn.
Correct Answer is ["22.5"]
Explanation
The order is for potassium chloride 30 mEq. The available medication is potassium chloride 20 mEq/15mL. To calculate the amount to administer: Step 1 is: Set up a proportion to solve for the unknown quantity (X), which is the volume in mL to administer. The proportion is (20 mEq
/ 15 mL) = (30 mEq / X mL).
Step 2 is: Cross-multiply to solve for X. X = (30 mEq * 15 mL) ÷ 20 mEq.
Step 3 is: Calculate X. X = 22.5 mL. So, the nurse should administer 22.5 mL of potassium chloride.
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