A client is recovering from transjugular intrahepatic shunt ...

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A client is recovering from transjugular intrahepatic shunt placement. What nursing care should the nurse expect to provide to this client? (Select all that apply.)
 
  1. Monitor vital signs.
  2. Encourage early ambulation.
  3. Monitor for internal bleeding
  4. Maintain in a side-lying position.
  5. Monitor for bleeding at the jugular site.

Question 2

A client with cirrhosis is prescribed lactulose (Cephulac), which causes diarrhea. What should the nurse explain about this medication?
 
  1. Prevents gastrointestinal bleeding
  2. Reduces serum ammonia levels
  3. Prevents constipation
  4. Promotes excess fluid loss

[Ksanderson1296]

Answer to Question 1

Answer: 1, 4, 5

1. After surgery to place a transjugular intrahepatic portosystemic shunt (TIPS) the nurse should monitor the client's vital signs.
2. After surgery to place a transjugular intrahepatic portosystemic shunt (TIPS) early ambulation is not an expectation.
3. After surgery to place a transjugular intrahepatic portosystemic shunt (TIPS) the nurse should monitor for internal bleeding.
4. After surgery to place a transjugular intrahepatic portosystemic shunt (TIPS) the side-lying position is not preferred.
5. After surgery to place a trans-jugular intrahepatic portosystemic shunt (TIPS) the nurse should monitor for bleeding at the jugular site.

Answer to Question 2

Answer: 2

1. Lactulose does not prevent gastrointestinal bleeding.
2. Lactulose inhibits ammonia absorption from the bowel and is also an osmotic laxative, thereby promoting excretion of ammonia.
3. Lactulose does not prevent constipation.
4. Lactulose does not promote excess fluid loss.

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TYSM

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