When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70
mg/min), which outcome data should the practical nurse (PN) prioritize in collection?
Heart rate
Ankle circumference
Urinary output
Dietary intake
The Correct Answer is C
Choice A rationale
Heart rate is an important vital sign to monitor in patients, but it is not the primary outcome
data to prioritize when administering a 20% mannitol intravenous (IV) solution. Mannitol is a diuretic that works by increasing the amount of urine produced. Therefore, while heart rate can be affected by fluid balance changes, it is not the most directly relevant outcome to monitor in this context.
Choice B rationale
Ankle circumference could be an indicator of peripheral edema, which might suggest fluid
overload or poor kidney function. However, in the context of mannitol administration, which is a diuretic and would be expected to decrease fluid overload, ankle circumference is not the primary outcome to monitor.
Choice C rationale
Urinary output is the correct answer. Mannitol is an osmotic diuretic that increases urine
production. It is used to reduce intracranial and intraocular pressure by drawing water out of tissues and into the bloodstream, from where it can be excreted by the kidneys. Therefore, urinary output is the most direct measure of its effectiveness and is the key outcome that should be monitored.
Choice D rationale
Dietary intake is always important to monitor in patients, especially those receiving IV
therapy, as it can impact electrolyte balance and overall health status. However, it is not the primary outcome to monitor when administering mannitol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hand tremors are not a common side effect of drospirenone.
Choice B rationale
Heart palpitations are a serious side effect of drospirenone and should be reported to the healthcare provider immediately.
Choice C rationale
Decreased reflexes are not a common side effect of drospirenone.
Choice D rationale
Loss of energy is not a common side effect of drospirenone.
Correct Answer is D
Explanation
The correct answer is Choice D. Rationale:
Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.
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