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Added on 06/12/2011

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After being in remission from Hodgkin's Disease for 18 months, a client develops a fever of unknown origin. The physician orders a blind liver biopsy to rule out advancing Hodgkin's Disease and infection. 24 hours after the biopsy, the client has a fever, complains of severe abdominal pain, and seems increasingly confused. The nurse suspects that these findings result from:

1. Bleeding in the liver caused by the liver biopsy
2. Perforation of the colon caused by the liver biopsy
3. An allergic reaction to the contrast media used during the liver biopsy
4. Normal postprocedural pain, with a change in level of consciousness resulting from the preexisting fever


After any invasive procedure, the nurse must stay alert for complication in the affected region-in this case, the abdomen. This client exhibits classic signs and symptoms of a perforated colon: severe abdomen pain.


Member since: April 2011
(Boynton Beach,FL) Original question source

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