The nurse is caring for a client in the intensive care unit following a closed head injury. The nurse can anticipate which medication would be administered to treat an increase in intracranial pressure?
Pepcid
Aspirin
Desmopressin
Mannitol
The Correct Answer is D
Choice A reason:
Pepcid (famotidine) is an H2 receptor antagonist used to reduce stomach acid production. It is not relevant to the management of increased intracranial pressure and does not have the pharmacological properties needed to treat such a condition. Its primary use is for gastrointestinal issues.
Choice B reason:
Aspirin is an anti-inflammatory and antiplatelet medication that is not suitable for treating increased intracranial pressure. In fact, it could be contraindicated due to the risk of bleeding, especially in a patient with a head injury. Aspirin can exacerbate intracranial bleeding and worsen the situation.
Choice C reason:
Desmopressin is used to manage conditions like diabetes insipidus and certain bleeding disorders, but it is not used to treat increased intracranial pressure. Its action on fluid retention and blood clotting does not address the direct need for reducing intracranial pressure.
Choice D reason:
Mannitol is an osmotic diuretic that is effective in reducing intracranial pressure. It works by drawing fluid out of the brain tissue, thereby decreasing pressure within the skull. This makes it the appropriate medication for managing increased intracranial pressure in the scenario of a closed head injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Keeping the fluorescent ceiling light on at night can disrupt sleep and is not necessary for preventing falls. Nightlights or bedside lamps are more appropriate for providing enough light to move around safely without disturbing sleep.
Choice B reason: Keeping the walker at the end of the bed is not a practical or safe placement. It should be within easy reach of the client to ensure it can be used immediately upon standing to prevent falls.
Choice C reason: This is the correct answer. Placing a bath seat in the shower is an excellent strategy for preventing falls. It allows the client to sit while bathing, reducing the risk of slipping and falling in the shower, which is a common hazard area.
Choice D reason: Placing an area rug at the entry of the bathroom can create a tripping hazard. It is important to avoid loose rugs or mats that could cause falls, especially in areas where water might make the floor slippery.
Correct Answer is C
Explanation
Choice A reason:
A glass of wine daily can contribute to peptic ulcer risk due to alcohol’s irritating effect on the stomach lining, increasing acid production. However, in moderate amounts, it is not as significant a risk factor as NSAID use.
Choice B reason:
Bulimia involves repeated vomiting which can increase gastric acid exposure and potentially contribute to peptic ulcers, but it is not as commonly recognized a risk factor as NSAID use. It’s more directly linked to esophageal irritation and damage.
Choice C reason:
NSAID use is a well-established risk factor for peptic ulcers. These medications inhibit prostaglandins that protect the stomach lining, making it more susceptible to damage from stomach acid. Regular or high-dose use of NSAIDs can significantly increase peptic ulcer risk.
Choice D reason:
Green tea is generally considered beneficial for health, including its anti-inflammatory properties. It does not contribute to peptic ulcer risk and is often part of a healthy diet.
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