This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious patient. Which ... (Read 78 times)

genevieve1028

  • Hero Member
  • *****
  • Posts: 601
on: Jun 25, 2018
The nurse has administered prescribed IV mannitol (Osmitrol) to an unconscious patient. Which parameter should the nurse monitor to determine the medication's effectiveness?
 
  a. Blood pressure
  b. Oxygen saturation
  c. Intracranial pressure
  d. Hemoglobin and hematocrit

Question 2

Admission vital signs for a brain-injured patient are blood pressure 128/68, pulse 110, and respi-rations 26. Which set of vital signs, if taken 1 hour after admission, will be of most concern to the nurse?
 
  a. Blood pressure 154/68, pulse 56, respira-tions 12
  b. Blood pressure 134/72, pulse 90, respira-tions 32
  c. Blood pressure 148/78, pulse 112, respira-tions 28
  d. Blood pressure 110/70, pulse 120, respira-tions 30


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

blazinlyss

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
Mannitol is an osmotic diuretic and will reduce cerebral edema and intracranial pressure. It may initially reduce hematocrit and increase blood pressure, but these are not the best parameters for evaluation of the effectiveness of the drug. Oxygen saturation will not directly improve as a re-sult of mannitol administration.

Answer to Question 2

ANS: A
Systolic hypertension with widening pulse pressure, bradycardia, and respiratory changes repre-sent Cushing's triad. These findings indicate that the intracranial pressure (ICP) has increased, and brain herniation may be imminent unless immediate action is taken to reduce ICP. The other vital signs may indicate the need for changes in treatment, but they are not indicative of an im-mediately life-threatening process.


genevieve1028

  • Member
  • Posts: 601
Reply 2 on: Jun 25, 2018
Gracias!

Joy Chen

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
A medical assistant helps the physician with a patient. A medical assistant helps the physician with a patient.
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
Chest X-ray of a patient with emphysema. Chest X-ray of a patient with emphysema.
(A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ... (A) PET scan of a healthy patient. (B) PET scan of a patient with schizophrenia. This patient will ...
Video: Bipolar Disorder

For a complete list of videos, visit our video library