A patient is prescribed mannitol for increased intracranial pressure. What should the nurse monitor? (Select all that apply)
Serum Glucose Levels
Heart Rate
Respiration Rate
Urine Output
Serum Potassium Levels
Correct Answer : D,E
(A) Serum Glucose Levels: Mannitol does not significantly affect glucose metabolism.
(B) Heart Rate: It does not directly impact heart rate, though secondary effects like dehydration may influence it.
(C) Respiration Rate: Mannitol does not directly impact respiratory function.
(D) Urine Output: Mannitol is an osmotic diuretic that increases urine output. Monitoring urine output helps assess the drug’s effectiveness and prevent dehydration or hypovolemia.
(E) Serum Potassium Levels: Mannitol causes diuresis, which can lead to electrolyte imbalances, including hypokalemia. Monitoring potassium levels helps prevent complications like arrhythmias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
(A) Lethargy: More common in hypercalcemia.
(B) Hypertension: Hypocalcemia is more likely to cause hypotension due to reduced contractility.
(C) Bone Pain: More common in hypercalcemia due to bone resorption.
(D) Positive Chvostek’s Sign: Facial twitching when tapping the facial nerve is a classic sign of hypocalcemia.
(E) Constipation: Hypocalcemia is associated with diarrhea, not constipation.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"D"},"E":{"answers":"F"}}
Explanation
Cushing’s Syndrome → Dexamethasone Suppression Test
- Cushing’s Syndrome results from excess cortisol. The dexamethasone suppression test evaluates whether cortisol production is appropriately suppressed by exogenous steroids.
Addison’s Disease → ACTH Stimulation Test
- Addison’s Disease involves adrenal insufficiency. The ACTH stimulation test checks if the adrenal glands can produce cortisol when stimulated.
Graves’ Disease → TSH Receptor Antibody Test
- Graves’ Disease is an autoimmune hyperthyroid condition where autoantibodies stimulate the thyroid. The TSH receptor antibody test detects these autoantibodies.
Diabetes Insipidus → Water Deprivation Test
- Diabetes Insipidus causes excessive urination due to ADH deficiency or resistance. The water deprivation test assesses the kidneys' ability to concentrate urine in response to dehydration.
Hashimoto’s Thyroiditis → Antithyroid Antibody Test
- Hashimoto’s Thyroiditis is an autoimmune hypothyroid disorder characterized by elevated antithyroid antibodies.
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