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 B
Explanation
(A) Apples: Low in potassium, safe for CKD patients.
(B) Bananas: CKD patients should avoid high-potassium foods, as the kidneys cannot efficiently excrete potassium, increasing the risk of hyperkalemia.
(C) Green Beans: Low in potassium, kidney-friendly.
(D) White Bread: Preferred over whole grains because it has lower phosphorus content.
Correct Answer is B
Explanation
(A) Obtain a urine specimen: Important for diagnosis but not the priority over pain management.
(B) Administer prescribed analgesics: Pain relief is the priority in acute urolithiasis, as renal colic is excruciating.
(C) Encourage oral fluids: Helps prevent further stone formation but is secondary to pain relief.
(D) Prepare the patient for surgery: Surgery is only indicated for large, obstructing stones, not a first-line intervention.
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