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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Radical excision. Treatment of melanoma includes surgical excision of the tumor with a margin of normal tissue to decrease the risk of recurrence. Radical excision involves the removal of the tumor, adjacent tissue, and possibly lymph nodes.

Option A, radiation therapy, may be used as an adjunct therapy, but it is not the primary treatment.

Option B, laser surgery, may be used to remove superficial lesions, but not for melanoma.

Option C, cryosurgery, is used to remove benign lesions or precancerous cells, but not for melanoma.

A. Provide instruction on blood-thinning medication. B. Assess the client for the ability to ambulate independently. C. Include the client in planning care and setting goals. D. Praise the client when using adaptive equipment.

Correct Answer is B

Explanation

Assess the client for the ability to ambulate independently. The highest priority nursing intervention for a client admitted to a neurologic rehabilitation unit following a cerebrovascular accident is to assess the client's ability to ambulate independently. This assessment will help the nurse determine the level of assistance required and develop an appropriate care plan.

Option A. Providing instruction on blood-thinning medication is not the highest priority as it can be done later when the client's ambulation status is stable.

Option C. Including the client in the planning of care and setting of goals is important but not the highest priority in this situation as it can be done after assessing the client's ambulation status.

Option D. Praise the client when using adaptive equipment, is not the highest priority as the client's ambulation status is more important at this point.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Treatment of melanoma includes which of the following?

Correct Answer is D

Explanation

The nurse is planning care for a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of the highest priority?

Correct Answer is B

Explanation

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