Which diuretic is most appropriate for treating a patient with increased intracranial pressure (ICP)?
Hydrochlorothiazide
Spironolactone
Furosemide
Mannitol
The Correct Answer is D
(A) Hydrochlorothiazide: A thiazide diuretic used for hypertension, not ICP.
(B) Spironolactone: A potassium-sparing diuretic used for heart failure, not ICP.
(C) Furosemide: A loop diuretic that reduces fluid overload but is not the first choice for ICP management.
(D) Mannitol: An osmotic diuretic that reduces brain swelling by drawing fluid out of the brain and into the bloodstream.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
(A) Mannitol: Osmotic diuretic, does not significantly lower potassium.
(B) Calcium Carbonate: Used for hypocalcemia, not hyperkalemia.
(C) Glucose & Insulin: Insulin drives potassium into cells, reducing serum potassium levels. Glucose is given to prevent hypoglycemia.
(D) Metoprolol: Beta-blocker, does not directly lower potassium.
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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