Which nursing action supports hemostasis after a liver biopsy?

Which nursing action supports hemostasis after a liver biopsy?

• A. Keep patient on the left side to prevent pressure
• B. Keep patient in a high-Fowler's position
• C. Position patient on the right side lying to apply pressure on liver
• D. Elevate legs and ambulate immediately

Answer: (C)

The main idea is to promote bleeding control after a liver biopsy. Placing the patient on the right side with the biopsy site pressed against the bed provides direct external pressure on the puncture tract (tamponade) as the liver sits beneath the right rib cage. This compression helps the clot form and minimizes ongoing bleeding, which is crucial given the liver’s rich blood supply. Keeping the patient in this right-side position also reduces movement at the site, further protecting hemostasis. Other positions don’t offer the same benefit. Lying on the left side wouldn’t compress the liver puncture site effectively; sitting up or placing the head of the bed high (high-Fowler’s) won’t tamponade the tract and can increase bleeding risk. Elevating the legs and ambulating immediately would disrupt the clot and worsen bleeding. Afterward, maintain bed rest for several hours and monitor for signs of hemorrhage such as increasing abdominal pain, tenderness, or hypotension, and report any concerning changes promptly.

The main idea is to promote bleeding control after a liver biopsy. Placing the patient on the right side with the biopsy site pressed against the bed provides direct external pressure on the puncture tract (tamponade) as the liver sits beneath the right rib cage. This compression helps the clot form and minimizes ongoing bleeding, which is crucial given the liver’s rich blood supply. Keeping the patient in this right-side position also reduces movement at the site, further protecting hemostasis.

Other positions don’t offer the same benefit. Lying on the left side wouldn’t compress the liver puncture site effectively; sitting up or placing the head of the bed high (high-Fowler’s) won’t tamponade the tract and can increase bleeding risk. Elevating the legs and ambulating immediately would disrupt the clot and worsen bleeding. Afterward, maintain bed rest for several hours and monitor for signs of hemorrhage such as increasing abdominal pain, tenderness, or hypotension, and report any concerning changes promptly.