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 D
Explanation
Choice A reason: Semi-Fowler’s aids breathing but doesn’t optimize cerebral blood flow, critical in ischemic stroke to perfuse brain tissue, less urgent than perfusion.
Choice B reason: Trendelenburg lowers the head, risking increased intracranial pressure in stroke, not reducing hypertension effectively, contraindicated for cerebral ischemia.
Choice C reason: Flat positioning may increase intracranial pressure, worsening ischemia; elevation enhances perfusion, so keeping flat isn’t the priority intervention.
Choice D reason: Raising the head 30 degrees improves cerebral perfusion by balancing blood flow and reducing pressure, the priority to minimize ischemic damage.
Correct Answer is C
Explanation
Choice A reason: Radioactive iodine treats hyperthyroidism by destroying thyroid tissue, reducing hormone production. It’s contraindicated in hypothyroidism, where hormone replacement is needed instead.
Choice B reason: Sumatriptan, a serotonin agonist, treats migraines by constricting blood vessels. It has no role in hypothyroidism, which requires thyroid hormone supplementation.
Choice C reason: Levothyroxine replaces deficient thyroid hormone in hypothyroidism, normalizing metabolism by mimicking T4, addressing symptoms like fatigue and weight gain effectively.
Choice D reason: Levofloxacin, an antibiotic, fights bacterial infections but doesn’t address hypothyroidism’s hormonal deficiency, making it irrelevant to this condition’s treatment.
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