A patient has just undergone a percutaneous liver biopsy. Which of the following are included in the post-procedure assessment? (select all that apply)

instruct the patient to lie on the Left side

assess the patient's vital signs

assess the dressing over the puncture site

assess for signs/symptoms of a pneumothorax

Answer and Explanation

Correct Answer : B,C,D

A. Instruct the patient to lie on the Left side: The patient should lie on their right side (the biopsy side) to apply pressure and prevent bleeding.

B. Assess the patient's vital signs: Monitoring vital signs is crucial to detect signs of bleeding, hypovolemia, or shock.

C. Assess the dressing over the puncture site: Checking for bleeding or hematoma formation at the puncture site is important to detect complications.

D. Assess for signs/symptoms of a pneumothorax: A pneumothorax is a possible complication of liver biopsy, especially if the biopsy needle punctures the lung.

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Correct Answer is ["50"]

Explanation

Available: Octreotide 0.5 mg in 100 mL of fluid

Calculation:

Convert the available dose to mcg:

0.5 mg = 500 mcg

Determine the concentration:

500 mcg in 100 mL = 5 mcg/mL

Calculate the infusion rate:

Desired rate: 50 mcg/hour
Infusion rate (mL/hour) = Desireddose(mcg/hour)÷ Concentration(mcg/mL)

= 50 mcg/hour ÷ 5 mcg/Ml

= 10 mL/hour

The infusion rate of 10 mL/hour will deliver 50 mcg/hour of Octreotide, as prescribed.

A. Administer a stat fluid challenge B. Place the patient in a prone position C. Draw a stat CBC D. Perform a stat pericardiocentesis

Correct Answer is D

Explanation

A. Administer a stat fluid challenge: This might temporarily improve cardiac output in tamponade, but it is not the primary intervention. The fluid challenge may be used as a temporary measure, but it does not address the underlying cause.

B. Place the patient in a prone position: This is incorrect and could worsen the patient's condition. The patient should be in a semi-recumbent position to decrease venous return and reduce pressure on the heart.

C. Draw a stat CBC: A CBC is not relevant to the immediate management of cardiac tamponade and does not address the urgent need to relieve the pressure on the heart.

D. Perform a stat pericardiocentesis: Pericardiocentesis is the definitive treatment for cardiac tamponade, as it removes the fluid from the pericardial space, relieving the pressure on the heart and allowing it to function properly.

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A patient has just undergone a percutaneous liver biopsy. Which of the following are included in the post-procedure assessment? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: Octreotide continuous infusion via pump at 50 mcg/hour Available: Octreotide 0.5 mg in 100 mL of fluid Infuse at

Correct Answer is ["50"]

Explanation

A patient is brought to the ED after being struck by a baseball to the chest. The physician suspects a cardiac tamponade based on hypotension muffled heart sounds, and distended jugular veins. What is the primary intervention for this patient?

Correct Answer is D

Explanation

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