How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A patient with cirrhosis is scheduled for a TIPS procedure. Which of the following correctly describes a TIPS procedure?

A.

A shunt will divert blood from the hepatic vein to the Inferior vena cava

B.

A shunt will divert blood from the aorta to the inferior vena cava

C.

A shunt will divert blood from the portal vein to the hepatic vein

D.

A shunt will divert blood from the aorta to the hepatic vein

Answer and Explanation

The Correct Answer is C

A. A shunt will divert blood from the hepatic vein to the Inferior vena cava: This is not the correct pathway for a TIPS procedure.

B. A shunt will divert blood from the aorta to the inferior vena cava:  This describes a different vascular pathway unrelated to TIPS.

C. A shunt will divert blood from the portal vein to the hepatic vein: TIPS (Transjugular Intrahepatic Portosystemic Shunt) is a procedure that creates a pathway between the portal vein and hepatic vein, reducing portal hypertension and preventing variceal bleeding.

D. A shunt will divert blood from the aorta to the hepatic vein:  This is not the correct anatomical pathway for a TIPS procedure.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is A

Explanation

A. Hypertension: This is not a cause of high-output heart failure. Hypertension typically leads to low-output heart failure due to increased afterload, which causes the heart to work harder.

B. Severe anemia: Severe anemia causes high-output heart failure because the body compensates for the decreased oxygen-carrying capacity by increasing cardiac output.

C. Sepsis: Sepsis can lead to high-output heart failure as the body attempts to maintain perfusion in the face of widespread vasodilation.

D. Hyperthyroidism: Hyperthyroidism increases metabolic demands, which can cause high-output heart failure as the heart attempts to meet the increased needs.

Correct Answer is ["50"]

Explanation

Available: Octreotide 0.5 mg in 100 mL of fluid

Calculation:

Convert the available dose to mcg:

  • 0.5 mg = 500 mcg

Determine the concentration:

  • 500 mcg in 100 mL = 5 mcg/mL

Calculate the infusion rate:

  • Desired rate: 50 mcg/hour
  • Infusion rate (mL/hour) = Desireddose(mcg/hour)÷ Concentration(mcg/mL)

= 50 mcg/hour ÷ 5 mcg/Ml

= 10 mL/hour

The infusion rate of 10 mL/hour will deliver 50 mcg/hour of Octreotide, as prescribed.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register