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 A
Explanation
Choice A rationale
Calling for pain medication before the previous dose wears off is an effective strategy for managing postoperative pain. This approach helps maintain a consistent level of pain control, which can enhance comfort and facilitate recovery.
Choice B rationale
Waiting for the nurse to evaluate the pain before asking for more medication can result in periods of uncontrolled pain, which can hinder recovery. Pain should be managed proactively, not reactively.
Choice C rationale
Calling for pain medication as the pain becomes intolerable is not an effective pain management strategy. Pain should be controlled before it reaches this level.
Choice D rationale
Asking for less medication to avoid addiction is not a recommended approach to pain management. While it’s important to use opioids judiciously, under-treating pain can hinder recovery and lead to unnecessary suffering. PancreatitisPancreatitis Explore
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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