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

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

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

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

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.

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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.

A. “Your liver cannot manufacture bile." B. "Your pancreas is no longer able to manufacture insulin." C. "Your gall bladder is not contracting properly." D. "A gallstone can prevent bile from flowing into the Intestines."

Correct Answer is D

Explanation

A. "Your liver cannot manufacture bile": The liver can still manufacture bile, but the problem lies in bile flow, not production.

B. "Your pancreas is no longer able to manufacture insulin": This statement refers to diabetes, not cholelithiasis.

C. "Your gall bladder is not contracting properly": While gallbladder dysfunction can cause pain, jaundice specifically occurs due to bile flow obstruction, not just poor contraction.

D. "A gallstone can prevent bile from flowing into the intestines": Gallstones can obstruct the bile ducts, leading to a buildup of bilirubin in the blood, which manifests as jaundice.

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

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Naxlex Comprehensive Predictor Exams

Which of the following is not a cause of high-output heart failure?

Correct Answer is A

Explanation

A patient with cholelithiasis asks the nurse why he/she is jaundiced. What is the nurse's best answer?

Correct Answer is D

Explanation

Which of the following describes why an ACE inhibitor is prescribed to a patient with Heart Failure?

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Which of the following should the nurse assess in a patient who has just undergone a PCI (percutaneous coronary intervention) (select all that apply)

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

The nurse is assessing a patient for heart failure (HF). Which early findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

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A patient is brought to the ED after being struck by a baseball to the chest. The physician suspects a cardiac tamponade based on hypotension muffled heart sounds, and distended jugular veins. What is the primary intervention for this patient?