A nurse is caring for a patient during a transjugular intrahepatic portosystemic shunt (TIPS) procedure. For which complication will the nurse assess during the procedure?
1. Alcohol withdrawal symptoms, because minimal sedation will be used
2. Dysrhythmias as the catheter moves through the heart
3. Hypotension as the liver is decompressed
4. Vagal responses as the catheter is inserted
2
Rationale 1: The patient is either sedated or under anesthesia, so the potential of the alcohol withdrawal symptoms is not likely to occur.
Rationale 2: The primary complication of this procedure is dysrhythmias due to endocardial irritation from the guide wire. The nurse should monitor the EKG continuously during the procedure.
Rationale 3: The liver is not decompressed—the venous flow is increased due to the placement of a stent.
Rationale 4: Vagal stimulation is not a complication of TIPS because this is a venous procedure and there is no contact with the baroreceptors located in the arterial system.
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