Final answer:
For a liver fibrosis patient scheduled for a closed biopsy, the nurse's procedural plan of care should include ensuring NPO status, conducting liver function tests and blood clotting assessment, and planning for pain management after the procedure.
Step-by-step explanation:
A nurse planning care for a patient scheduled for a closed liver biopsy should include a comprehensive plan that covers a variety of assessments and management strategies. These are essential for ensuring patient safety and optimizing post-procedural recovery. The nursing plan of care should include:
- NPO status: Patients are typically required to have nothing by mouth for a certain period before the procedure to minimize the risk of aspiration and to prepare the gastrointestinal system.
- Liver function tests: Blood tests such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, and bilirubin levels provide information about the liver's condition and functioning.
- Blood clotting assessment: Coagulation tests, such as the international normalized ratio (INR), are crucial as they evaluate the blood's ability to clot. A liver compromised by fibrosis may not produce adequate coagulation factors, posing a risk of excessive bleeding during or after the biopsy.
- Pain management: The patient may experience discomfort or pain after the biopsy, and thus, plans for analgesia should be discussed and prepared beforehand.
All these aspects are critical to the pre-procedural preparations and post-procedural recovery for a patient undergoing a liver biopsy.