Mannitol (Osmitrol) IV is prescribed to a client. The nurse will ...

[JMatthes]

Mannitol (Osmitrol) IV is prescribed to a client. The nurse will question the order for this drug if which manifestation is noted upon assessment?
 
  1. Mental confusion and elevated blood pressure
  2. Fatigue and dizziness
  3. Urinary output of 68 mL over 2 hours following administration of a test dose of mannitol (Osmitrol)
  4. Urinary output of 45 mL over the previous 24 hours

Question 2

The nurse is administering furosemide (Lasix) IV to client with congestive heart failure. The nurse knows that the anticipated onset of action is within ____ minutes.
 
  Standard Text: Round answer to the nearest whole number.
  Fill in the blank with the appropriate word.

[sokh]

Answer to Question 1

Correct Answer: 4
Rationale 1: Mental confusion and elevated blood could be manifestations of cerebral edema, which is an indication for mannitol (Osmitrol). The client's history should be reviewed to rule out significantly elevated intracranial pressure, organic brain disease, and intracranial bleeding.
Rationale 2: Fatigue and dizziness are not specific indicators of a contraindication to use of mannitol (Osmitrol).
Rationale 3: This represents an adequate response to a test dose of the drug.
Rationale 4: Mannitol (Osmitrol) is contraindicated in the presence of anuria.
Global Rationale: Mannitol (Osmitrol) is contraindicated in the presence of anuria. Mental confusion and elevated blood could be manifestations of cerebral edema, which is an indication for mannitol (Osmitrol). The client's history should be reviewed to rule out significantly elevated intracranial pressure, organic brain disease, and intracranial bleeding. Fatigue and dizziness are not specific indicators of a contraindication to use of mannitol (Osmitrol). Urinary output of 68 mL over a two-hour period represents an adequate response to a test dose of the drug.

Answer to Question 2

Correct Answer: 5
Rationale: Furosemide is frequently used in the treatment of acute edema associated with liver cirrhosis, renal impairment, or congestive heart failure because it has the ability to remove large amounts of edema fluid from the client in a short time. When given IV, diuresis begins within 5 minutes, providing clients quick relief from their symptoms.
Global Rationale: Furosemide is frequently used in the treatment of acute edema associated with liver cirrhosis, renal impairment, or congestive heart failure because it has the ability to remove large amounts of edema fluid from the client in a short time. When given IV, diuresis begins within 5 minutes, providing clients quick relief from their symptoms.

[JMatthes]

Excellent

[scottmt]

Thanks for the timely response, appreciate it