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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Captopril, an ACE inhibitor, lowers blood pressure, risking orthostatic hypotension; teaching posture changes (slow standing) prevents falls, a key safety instruction.
Choice B reason: Captopril is taken on an empty stomach for optimal absorption, as food reduces bioavailability, so this statement contradicts proper administration guidelines.
Choice C reason: Cough, an ACE inhibitor side effect, doesn’t warrant suppressants; it may require switching drugs, not masking, making this instruction inappropriate.
Choice D reason: Captopril can raise potassium by reducing aldosterone; high-potassium foods risk hyperkalemia, so this advice is unsafe without monitoring levels.
Correct Answer is A
Explanation
Choice A reason: CT scan rapidly detects ischemic stroke or hemorrhage in the brain, critical for numbness, headache, and speech issues, guiding urgent treatment decisions.
Choice B reason: Hemoglobin and hematocrit assess blood count, not brain pathology like stroke, which requires imaging to identify infarction or bleeding, not anemia.
Choice C reason: MRI offers detailed stroke imaging but is slower than CT, less ideal for acute ER settings needing immediate diagnosis of neurological symptoms.
Choice D reason: Pulmonary angiography evaluates lung vessels for embolism, irrelevant to stroke symptoms (numbness, headache, speech difficulty), which localize to brain issues.
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