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 D

Explanation

A. Administer a stat fluid challenge: This might temporarily improve cardiac output in tamponade, but it is not the primary intervention. The fluid challenge may be used as a temporary measure, but it does not address the underlying cause.

B. Place the patient in a prone position: This is incorrect and could worsen the patient's condition. The patient should be in a semi-recumbent position to decrease venous return and reduce pressure on the heart.

C. Draw a stat CBC: A CBC is not relevant to the immediate management of cardiac tamponade and does not address the urgent need to relieve the pressure on the heart.

D. Perform a stat pericardiocentesis: Pericardiocentesis is the definitive treatment for cardiac tamponade, as it removes the fluid from the pericardial space, relieving the pressure on the heart and allowing it to function properly.

A. Reoccurrence of chest pain/discomfort B. Puncture site for bleeding/hematoma C. pulse distal to puncture site D. urinary output

Correct Answer is ["A","B","C"]

Explanation

A. Reoccurrence of chest pain/discomfort: This can indicate restenosis or complications post-PCI, requiring immediate attention.

B. Puncture site for bleeding/hematoma: Bleeding at the puncture site is a common complication, so it must be closely monitored.

C. Pulse distal to puncture site: Checking the pulse distal to the puncture site helps assess for arterial occlusion or compromised blood flow, which can occur if a hematoma or clot forms.

D. Urinary output: While monitoring urinary output is important for overall assessment, it is not directly related to complications specific to PCI.

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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

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Correct Answer is D

Explanation

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Correct Answer is ["A","B","C"]

Explanation

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