The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?

I will need to remain on bedrest for a period of time after the biopsy

I will lie on my left side to maintain incisional pressure and prevent bleeding

I will stop my warfarin a week prior to the procedure

The biopsy will determine the presence of cancer

Answer and Explanation

The Correct Answer is B

Choice A reason: Bedrest post-liver biopsy prevents bleeding by reducing movement and pressure on the puncture site, a standard protocol, so this statement is correct.

Choice B reason: Lying on the right side, not left, applies pressure to the liver biopsy site (right upper quadrant), preventing bleeding. Left-side positioning is incorrect and risky.

Choice C reason: Stopping warfarin, an anticoagulant, a week prior reduces bleeding risk during biopsy, a necessary step, making this statement accurate and appropriate.

Choice D reason: Liver biopsy diagnoses cancer by examining tissue for malignant cells, confirming the procedure’s purpose, so this statement aligns with clinical intent.

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Correct Answer is A

Explanation

Choice A reason: Myxedema, severe hypothyroidism, slows metabolism, reducing cardiac output and causing fluid retention in tissues, leading to non-pitting leg edema from glycosaminoglycan deposits and poor circulation.

Choice B reason: Heat intolerance occurs in hyperthyroidism due to increased metabolism raising body temperature. Myxedema causes cold intolerance from slowed metabolism, making this finding unlikely.

Choice C reason: Tachycardia is a hyperthyroid symptom from excess thyroid hormone speeding heart rate. Myxedema leads to bradycardia as metabolism and cardiac activity decrease significantly.

Choice D reason: Diarrhea aligns with hyperthyroidism’s accelerated gut motility. Myxedema causes constipation from slowed metabolism reducing peristalsis, so diarrhea contradicts this condition’s physiology.

A. Bradycardia B. Heat intolerance C. Weight gain D. Lethargy

Correct Answer is B

Explanation

Choice A reason: Bradycardia occurs in hypothyroidism; Graves’ disease, hyperthyroidism, speeds metabolism, causing tachycardia, not slowed heart rate, during exacerbation.

Choice B reason: Heat intolerance in Graves’ disease results from excess thyroid hormone accelerating metabolism, raising body temperature, a hallmark of hyperthyroidism flares.

Choice C reason: Weight gain aligns with hypothyroidism’s slowed metabolism; Graves’ causes weight loss from increased calorie burning, opposite to this finding.

Choice D reason: Lethargy reflects hypothyroidism’s energy drop; Graves’ exacerbation increases metabolism, leading to restlessness or fatigue from overactivity, not lethargy.

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The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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