Question

A nurse is reviewing the laboratory data of a client who is

scheduled for a liver biopsy, which of the following values should
the nurse report to the provider?

Answer 1

Before a liver biopsy, it is crucial to report abnormal lab values such as elevated liver enzymes (alkaline phosphatase, ALT, AST), bilirubin levels, and coagulation test results like INR to the healthcare provider. These values are key indicators of liver function and potential bleeding risks.

Step-by-step explanation:

Which Laboratory Values to Report Before a Liver Biopsy

Before a liver biopsy, it is imperative for a nurse to review the laboratory data of a client to ensure safety and to anticipate potential complications. Certain laboratory values are crucial indicators of liver function and should be reported to the provider if they fall outside the expected ranges. Here are some of the key test results to consider:

• Alkaline phosphatase, alanine aminotransferase (ALT), and aspartate aminotransferase (AST): Elevated levels of these enzymes can indicate liver damage or inflammation.
• Direct bilirubin and total bilirubin: High levels might suggest liver or bile duct problems.
• Serum albumin and serum total protein: Abnormal levels can be indicative of poor liver function.
• Coagulation tests, specifically the international normalized ratio (INR): An increased INR indicates a higher risk of bleeding, which is a critical concern in procedures like a liver biopsy.

These tests help evaluate liver function and the liver's ability to produce coagulation factors—both key considerations before performing a liver biopsy. Any abnormalities in these results should be reported to the healthcare provider before proceeding with the biopsy.