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.
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.
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