Difficulty: Medium
Average Score: 68%
Simulated
The nurse is caring for a client who returned from a liver biopsy 30 minutes ago. The client presses the call light and upon arrival in the room the client is pale and complaining of feeling as if they might pass out what of the following is the nurses priority action?
Correct answer
C
Rationale
Inspecting the biopsy site for bleeding is the priority, as pallor and near-syncope suggest hemorrhage, a serious complication of liver biopsy. Other actions follow assessment.