Medical Surgical Hepatitis #5

Question

Following a liver biopsy to confirm hepatitis B, the nurse should position the client in which position?

Answers

  1. Left side-lying
    • Rationale:

      This answer is not correct because following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position (not left side-lying position) to place pressure on the affected site and reduce the risk of hemorrhage. Although this may be uncomfortable for the client, it is priority over comfort due to the risk of hemorrhage after a liver biopsy.

  2. Right side-lying
    • Rationale:

      This answer is correct because following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position to place pressure on the site and reduce the risk of hemorrhage. Although this may be uncomfortable for the client, it is priority over comfort due to the risk of hemorrhage after a liver biopsy.

  3. High-Fowler
    • Rationale:

      This answer is not correct because high-Fowler is not the appropriate position, unless the client is having severe breathing difficulties. Following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position to place pressure on the affected site and reduce the risk of hemorrhage.

  4. Prone lying
    • Rationale:

      This answer is not correct because the prone position is not appropriate after a liver biopsy. The client would have difficulty breathing and pressure would not be held on the puncture site when the client is prone. Following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position to place pressure on the affected site and reduce the risk of hemorrhage.

Overview

Following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position to place pressure on the affected site and reduce the risk of hemorrhage.

Explanation

Learning Outcomes

Hepatitis B is a virus that attacks the liver causing inflammation. Since it is a virus, it has flu-like symptoms including fatigue, muscle aches, fever, and headaches. Later in the disease process, symptoms are similar to liver failure because the inflammation can cause similar damage as cirrhosis of the liver. Later stage, severe symptoms of hepatitis B include abdominal pain, ascites, jaundice, esophageal varices, and bleeding tendencies. Abnormal laboratory results, including decreased albumin, decreased clotting factors, increased white blood cell level, increased ALT/AST, increased PTT, PT, and INR levels, and cholesterol associated labs occur as a result of liver failure. When hepatitis is suspected a positive HBsAg can confirm the suspicion. A liver biopsy may also be performed to examine the liver tissue and rule out other conditions, including cancer. Following a liver biopsy to confirm hepatitis B, the nurse should position the client in the right side-lying position to place pressure on the site and reduce the risk of hemorrhage.

Test Taking Tip

Understanding anatomy and why the client is placed on the affected site will help the test-taker remember to place the client on the right side following a liver biopsy.

Video Rationale