The nurse has just administered 150 g of mannitol IV to a patient ...

[Tazate]

The nurse has just administered 150 g of mannitol IV to a patient with increased intracranial pressure. What is most important for the nurse to monitor in the hour after administration?
 
  A) Weight of patient
  B) Blood pressure of patient
  C) Pulse of patient
  D) Respiratory rate of patient

Question 2

The nurse is caring for a patient with edema who has just begun taking a diuretic. What will the nurse use to evaluate the effectiveness of this medication? (Select all that apply.)
 
  A) Daily weight
  B) Decrease in edema
  C) Increase in blood pressure
  D) Increase in urinary output
  E) Increase in pulse

[bpool94]

Answer to Question 1

B
Feedback:
The most common and potentially dangerous adverse effect related to an osmotic diuretic is the sudden drop in fluid levels. Mannitol peaks 1 hour after administration, therefore, it would be most important to monitor blood pressure. Weight is the best indicator over time but would not be as effective in indicating a dangerous fluid drop as the blood pressure. Respiratory and pulse rates would also not be as effective as blood pressure in evaluating dangerous fluid drops.

Answer to Question 2

A, B, D
Feedback:
Responsiveness to the use of a diuretic can be measured by daily weights, increased urinary output, decrease in edema, decrease in blood pressure and pulse rate. Options C and E are not correct.

[Tazate]

Thank you!

[bpool94]

Always glad to help...