A patient with cirrhosis has a prolonged prothrombin time and needs venepuncture. Which nursing action is appropriate?
Correct answer: A. Apply prolonged gentle pressure after removing the needle
- A. Apply prolonged gentle pressure after removing the needle
- B. Massage the puncture site to improve circulation
- C. Use a firm tourniquet for twenty minutes afterward
- D. Encourage vigorous arm exercises after the procedure
Explanation
Reduced clotting factor production in cirrhosis increases bleeding risk, so gentle prolonged pressure helps achieve haemostasis. Massage, prolonged tourniquet pressure, and vigorous exercise may increase tissue bleeding.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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