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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A blood glucose reading of 48 is considered low and requires immediate intervention to raise the client's blood sugar. Intravenous dextrose solution is the fastest way to raise blood sugar levels in an unconscious client. Glucagon and cortisone can also be used to raise blood sugar levels, but they are not the first-line treatment for hypoglycemia.
Choice A, orange juice, is not appropriate for an unconscious client as they cannot swallow or drink.
Correct Answer is A
Explanation
Maintaining optimal bladder emptying. A client with benign prostatic hyperplasia (BPH) may have difficulty urinating due to an enlarged prostate gland. To maintain optimal bladder emptying, the nurse may teach the client to double void, sit down while urinating, and avoid caffeine and alcohol.
Leg exercises, choice B, may be helpful in preventing blood clots but are not directly related to BPH.
Coping strategies, choice C, may be helpful for reducing anxiety but do not address the management of BPH.
Deep breathing exercises, choice D, may be helpful for reducing anxiety but do not address the management of BPH.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today