護理師正在照顧一位剛完成經皮肝臟切片檢查的病人。檢查結束後，護理師應立即將病人置於哪種臥位？
A nurse is caring for a client after a percutaneous liver biopsy. Which position should the nurse place the client in immediately following the procedure?
- ALeft side-lying with a pillow under the abdomen左側臥位，腹部下方墊枕頭
- BSupine with the head of the bed elevated 30 degrees仰臥位，床頭抬高30度
- CRight side-lying with a small pillow or towel roll under the site✓ 正解右側臥位，穿刺部位下方墊小枕頭或毛巾捲
- DSemi-Fowler's position with the legs elevated半坐臥位，腿部抬高
肝臟切片後最嚴重的併發症是出血，因為肝臟血流豐富。術後應將病人置於右側臥位（C），並在穿刺點下方放置小枕頭或捲好的毛巾，利用病人自身的體重對肝臟施加壓力，達到壓迫止血的效果。這種姿勢應維持至少 2 到 4 小時。左側臥位（A）會使肝臟位於上方，無法產生壓迫效果。仰臥（B）或半坐臥（D）無法有效預防穿刺點滲血。護理師必須了解侵入性檢查後的姿勢擺放是降低手術風險的關鍵護理介入。
The most serious complication following liver biopsy is hemorrhage, owing to the liver's rich vascularity. After the procedure, the client should be placed in the right side-lying position (C) with a small pillow or rolled towel placed beneath the puncture site, using the client's body weight to apply pressure on the liver and achieve hemostasis. This position should be maintained for at least 2 to 4 hours. The left side-lying position (A) places the liver uppermost, providing no compression. The supine (B) or semi-Fowler's (D) positions cannot effectively prevent bleeding at the puncture site. The nurse must understand that proper positioning after invasive procedures is a key nursing intervention to reduce procedural risk.
美國 NCLEX 高度考查此類與解剖位置相關的特定術後姿勢；台灣臨床護理中，除姿勢擺放外，也會非常強調砂袋壓迫（Sandbag compression）的使用與固定時間。