A nurse is caring for a client who has esophageal varices.A difference of how many mmHg in orthostatic blood pressure could indicate a change in fluid volume and possible recurrence of varix bleeding?
A)10
B)20
C)30
D)40

Question

Quizplus · Accepted Answer

Esophageal varices are enlarged,twisted esophageal veins that are usually associated with chronic liver obstruction such as occurs in cirrhosis;they are asymptomatic until they rupture and hemorrhage.Medical management includes sclerotherapy or ligation;balloon tamponade is used during active bleeding.Medications may also be prescribed to prevent esophageal irritation,to control bleeding,and to control pain following sclerotherapy.Surgical treatment includes creation of a portosystemic shunt or a transjugular intrahepatic portosystemic shunt.Nursing care focuses on monitoring the client's vital signs and overall condition for evidence of bleeding,orthostatic blood pressure(20 mmHg drop)could indicate a change in fluid volume and possible recurrence of varix bleeding and alleviating client anxiety.

A Nurse Is Caring for a Client Who Has Esophageal