A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

Level of consciousness is improving.

Blood pressure is rising.

Urine output is increased.

Hyperpyrexia is resolving.

Answer and Explanation

The Correct Answer is A

Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.

B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.

C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.

D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.

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Correct Answer is B

Explanation

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.

A. Palpate gently without repeated attempts. B. Not palpate the thyroid and just listen for a bruit. C. Palpate firmly in order to feel the thyroid gland. D. Continue to palpate the gland until it is felt for enlargement.

Correct Answer is A

Explanation

Palpate gently without repeated attempts. Palpating the thyroid gland can stimulate the release of thyroid hormone, which can result in a thyroid storm, a potentially life-threatening condition characterized by a rapid heart rate, fever, and high blood pressure. Therefore, the nurse should be careful not to overstimulate the thyroid gland.

Not palpating the thyroid and just listening for a bruit (B) is not a sufficient assessment of the thyroid gland. Palpating the gland firmly in order to feel it for enlargement (C) can be too stimulating and increase the risk of thyroid hormone release. Continuing to palpate the gland until it is felt for enlargement (D) is not necessary and may result in overstimulation of the gland.

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A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with carpal tunnel syndrome. Which of the following assessment findings would the nurse expect?

Correct Answer is B

Explanation

The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?

Correct Answer is A

Explanation

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