Which nursing intervention should be completed immediately after ...

[humphriesbr@me.com]

Which nursing intervention should be completed immediately after the physician has performed a needle liver biopsy?
 
  a. Assisting to ambulate for the bathroom
  b. Keeping the patient on the right side for a minimum of 2 hours
  c. Taking vital signs every 4 hours
  d. Keeping the patient on the left side for a minimum of 4 hours

Question 2

The nurse caring for a patient who has had an open cholecystectomy with a T-Tube will:
 
  a. open the T-tube to the air so that it will drain freely.
  b. position and secure the drainage bag at the chest level.
  c. Place the collection bag so the tube is not kinked.
  d. Irrigate the T-tube with normal saline to ensure the free flow of bile.

[vickybb89]

Answer to Question 1

ANS: B
Keep the patient lying on the right side for minimum of 2 hours to splint the puncture site. It compresses the liver capsule against the chest wall to decrease the risk of hemorrhage or bile leak. Vital signs are taken every 15 minutes for 30 minutes, then every 30 minutes for 2 hours.

Answer to Question 2

ANS: B
The T-tube is placed below the level of the common bile duct to prevent the reflux of bile. The bag must be positioned so the tube is not kinked, or bile cannot drain from the liver. Normally T-tubes are not irrigated.

[humphriesbr@me.com]

Correct answers!

[vickybb89]

Great! Please up vote