For Which complication should a nurse be careful to monitor after a liver biopsy?
Chapter 40: Liver, Gallbladder, and Pancreatic DisordersLinton: Medical-Surgical Nursing, 7th EditionMULTIPLE CHOICE1.For which complication should a nurse be careful to monitor a patient after a liver biopsy?a.Headacheb.Muscle crampsc.Bleedingd.Respiratory distressANS: CLiver biopsy places the patient at risk for hemorrhage. Liver disorders make patientsespecially vulnerable to hemorrhage. Show
DIF:Cognitive Level: ComprehensionREF:p. 772OBJ:1TOP:Liver BiopsyKEY:Nursing Process Step: AssessmentMSC:NCLEX: Physiological Integrity: Basic Care and Comfort2.What is pruritus related to in the patient diagnosed with hepatitis? DIF:Cognitive Level: ComprehensionREF:p. 771OBJ:1TOP:HepatitisKEY:Nursing Process Step: ImplementationMSC:NCLEX: Physiological Integrity: Physiological Adaptation3.A young woman with severe jaundice has an altered body image. The patient says, “Will Ialways be this horrible color?” What is the best response by the nurse? DIF:Cognitive Level: ComprehensionREF:p. 767OBJ:1TOP:Hepatitis and JaundiceKEY:Nursing Process Step: ImplementationMSC:NCLEX: Psychosocial Integrity: Coping and Adaptation4.What action should a nurse implement to prevent complications in a patient with hepatitiswho has been prescribed bed rest? b.Provide undisturbed periods of 6 hours to encourage rest.c.Restrict fluids.d.Encourage turning, coughing, and deep breathing every 2 hours.ANS: DThe nurse must encourage measures that will prevent pneumonia and improve impaired skinintegrity because of the increased risk factors associated with bed rest.DIF:Cognitive Level: ApplicationREF:p. 777OBJ:2TOP:Bedrest for HepatitisKEY:Nursing Process Step: PlanningMSC:NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease OverviewA liver biopsy is a procedure to remove a small piece of liver tissue, so it can be examined under a microscope for signs of damage or disease. Your doctor may recommend a liver biopsy if blood tests or imaging studies suggest you might have a liver problem. A liver biopsy is also used to determine the severity of liver disease. This information helps guide treatment decisions. The most common type of liver biopsy is called percutaneous liver biopsy. It involves inserting a thin needle through your abdomen into the liver and removing a small piece of tissue. Two other types of liver biopsy — one using a vein in the neck (transjugular) and the other using a small abdominal incision (laparoscopic) — also remove liver tissue with a needle. Why it's doneA liver biopsy may be done to:
Your doctor may recommend a liver biopsy if you have:
A liver biopsy also is commonly performed to help diagnose and stage certain liver diseases, including:
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RisksA liver biopsy is a safe procedure when performed by an experienced doctor. Possible risks include:
In a transjugular procedure, a thin tube is inserted through a large vein in your neck and passed down into the vein that runs through your liver. If you have a transjugular liver biopsy, other infrequent risks include:
How you prepareBefore your liver biopsy, you'll meet with your doctor to talk about what to expect during the biopsy. This is a good time to ask questions about the procedure and make sure you understand the risks and benefits. Food and medicationsWhen you meet with your doctor, bring a list of all medications you take, including over-the-counter medications, vitamins and herbal supplements. Before your liver biopsy, you'll likely be asked to stop taking medications and supplements that can increase the risk of bleeding, including:
You may be asked not to drink or eat for six to eight hours before the liver biopsy. Some people can eat a light breakfast. Pre-biopsy blood testsBefore your biopsy, you'll have a blood test to check your blood's ability to clot. If you have blood-clotting problems, you may be given a medication before your biopsy to reduce the risk of bleeding. Arrangements for your recoveryYou may receive a sedative before your liver biopsy. If this is the case, arrange for someone to drive you home after the procedure. Have someone stay with you or check on you during the first night. Many doctors recommend that people spend the first evening within an hour's driving distance of the hospital where the biopsy is done, in case a complication develops. What you can expectWhat you can expect during your liver biopsy will depend on the type of procedure you'll undergo. A percutaneous liver biopsy is the most common type of liver biopsy, but it isn't an option for everyone. Your doctor may recommend a different form of liver biopsy if you:
During the procedureA liver biopsy is done at a hospital or outpatient center. You'll likely arrive early in the morning. Just before your biopsy you will:
The steps involved in liver biopsy vary according to the type:
After the procedureAfter the biopsy, you can expect to:
ResultsYour liver tissue goes to a laboratory to be examined by a doctor who specializes in diagnosing disease (pathologist). The pathologist will look for signs of disease and damage to the liver. Your biopsy report should come back from the pathology lab within a few days to a week. At a follow-up visit, your doctor will explain the results. You may be diagnosed with a liver disease, or your liver disease may be given a stage or grade number based on the severity — mild, moderate or severe. Your doctor will discuss what treatment, if any, you need. Clinical trialsExplore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Nov. 24, 2020 What is the most common complication of a liver biopsy?Pain at the biopsy site is the most common complication after a liver biopsy. Pain after a liver biopsy is usually a mild discomfort. If pain makes you uncomfortable, you may be given a narcotic pain medication, such as acetaminophen with codeine (Tylenol with Codeine). Bleeding.
What should I watch after liver biopsy?Your doctor can look for infection or other liver problems. You may have some pain where the biopsy needle entered your skin (the procedure site). You may also have pain in your shoulder. This is called referred pain.
What are the responsibility of a nurse after the liver biopsy?Following the liver biopsy, you will be asked to lie on your right side, and a nurse will monitor your blood pressure and pulse periodically. Many people watch television or a video, read, or talk with friends or family.
What can go wrong during a liver biopsy?These include pneumothorax, hemothorax, perforation of any of the several viscous organs, bile peritonitis, infection (bacteraemia. abscess, sepsis), haemobilia, intrahepatic arteriovenous fistula, neuralgia and rare complication such ventricular arrhythmias with transvenous biopsy [1-4].
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