Exhibits
Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.
Click to mark whether the assessment finding represents a therapeutic result of the mannitol administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.
Peripheral edema
Potassium 2.9
Urine output 280 ml
Heart rate 79
Intracranial pressure 11mmHg
Oxygen saturation
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}
1. Peripheral edema: Non-therapeutic side effect
- Mannitol is an osmotic diuretic that can cause fluid shifts leading to peripheral edema, which is an unintended side effect.
2. Potassium 2.9: Non-therapeutic side effect
- Hypokalemia (low potassium) is a potential side effect of mannitol due to increased urinary excretion of electrolytes.
3. Urine output 280 mL: Therapeutic result
- Mannitol increases urine output as it promotes diuresis, which is the intended therapeutic effect.
4. Heart rate 79: Unrelated finding
- The heart rate of 79 beats/minute is within normal limits and is not directly related to the administration of mannitol.
5. Intracranial pressure 11 mmHg: Therapeutic result
- The decrease in intracranial pressure from 24 mmHg to 11 mmHg is a desired therapeutic outcome of mannitol, as it helps reduce cerebral edema.
6. Oxygen saturation: Unrelated finding
- The oxygen saturation of 99% is within normal limits and is not directly related to the administration of mannitol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"C"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"C"},"G":{"answers":"C"}}
Explanation
1. Dizziness while sitting up: Non-therapeutic side effect
- Dizziness is a common side effect of minoxidil, often due to the vasodilatory effects, which can cause orthostatic hypotension.
2. Blood glucose 218 mg/dL: Unrelated finding
- Elevated blood glucose is unrelated to minoxidil administration and is more likely related to the client's diabetes.
3. Mouth dryness: Non-therapeutic side effect
- Dry mouth can be a side effect of minoxidil, though it is not a common one.
4. Blood pressure 162/111 mmHg: Therapeutic result
- The reduction in blood pressure from 203/166 mmHg to 162/111 mmHg is a therapeutic effect of minoxidil, which is used to lower blood pressure.
5. Heart rate 99: Non-therapeutic side effect
- Tachycardia can be a side effect of minoxidil, as it can lead to reflex tachycardia due to its vasodilatory effects.
6. Pain of 1 out of 10: Unrelated finding
- The reduction in pain is unrelated to the administration of minoxidil and is likely due to the ibuprofen given for pain management.
7. Urine output 600 mL: Unrelated finding
- Urine output is not directly related to the administration of minoxidil and is not typically affected by the drug.
Correct Answer is B
Explanation
A. Denying coughing spells could indicate effectiveness, but the key indicator is improved sleep, which directly reflects reduced nighttime coughing.
B. Being able to sleep through the night indicates the medication has effectively suppressed the cough, improving rest and reducing discomfort.
C. Expectorating bronchial secretions is associated with expectorants, not antitussives like benzonatate, which are meant to suppress coughing.
D. Reduced nasal discharge is more indicative of an antihistamine's effect rather than an antitussive like benzonatate.
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