A client with increased intracranial pressure is receiving mannitol via intravenous infusion. Which assessment finding is most important in determining the effectiveness of this treatment?
Level of consciousness is improving.
Blood pressure is rising.
Urine output is increased.
Hyperpyrexia is resolving.
The Correct Answer is A
Level of consciousness is improving. The effectiveness of mannitol treatment for a client with increased intracranial pressure can be assessed through the improvement of the level of consciousness. Mannitol is an osmotic diuretic that reduces cerebral edema and intracranial pressure. It works by increasing the osmotic pressure in the bloodstream, which draws fluid out of the brain and into the bloodstream. The reduction of intracranial pressure helps improve cerebral perfusion and blood flow. Therefore, improving the client's level of consciousness is the most important assessment finding to determine the effectiveness of mannitol treatment.
B is not the correct answer because a rise in blood pressure is not an indicator of the effectiveness of mannitol treatment.
C is not the correct answer because increased urine output is a side effect of mannitol treatment and does not necessarily indicate effectiveness.
D is not the correct answer because hyperpyrexia is not a symptom that is treated with mannitol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The tumor is confined to the prostate gland. Stage I prostate cancer means that the tumor is localized to the prostate gland and has not spread to other parts of the body.
B: This option is incorrect because it indicates that the tumor has expanded to the bladder, which is not indicative of stage I prostate cancer.
C: This option is partially correct, but it does not provide a complete picture of stage I prostate cancer.
D: This option is incorrect because it indicates that the tumor has spread beyond the prostate, which is not indicative of stage I prostate cancer.
Correct Answer is A
Explanation
The client's vital signs are temperature, 101.9 F; heart rate, 88 beats/minute; respiratory rate, 18 breaths/minute, and blood pressure, 138/80 mm Hg. An elevated temperature is a significant finding that may indicate the presence of an infection, which can cause further neurological damage in a client with an intracranial injury. The physician should be notified promptly, as the client may require antibiotic therapy to prevent the spread of infection.
B. Periorbital edema and ecchymosis are normal findings following head injury and should be monitored but do not require immediate intervention.
C. Resting in semi-Fowler's position is an appropriate position to maintain after intracranial pressure-reducing surgery.
D. Improved level of consciousness is a positive finding and indicates that the client is responding well to treatment.
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