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 A

Explanation

Hyperkalemia. Confusion, abdominal cramping, racing heart rate, and numbness of the extremities are symptoms associated with hyperkalemia, a condition where the potassium level in the blood is too high.

Hypocalcemia, choice B, is characterized by muscle spasms, numbness, and tingling around the mouth and fingertips.

Elevated urea levels, choice C, may be associated with decreased urine output, fatigue, and shortness of breath.

Elevated white blood cells, choice D, may indicate an infection.

A. Pain radiating down the dorsal surface of the forearm. B. A decrease in grasp strength. C. Inability to flex index and middle fingers. D. Tenderness in the affected wrist.

Correct Answer is B

Explanation

A decrease in grasp strength. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. Common assessment findings include numbness, tingling, and pain in the hand and fingers, weakness in the hand, and a decrease in grasp strength.

Choice A, pain radiating down the dorsal surface of the forearm, is not the correct answer because it is a common symptom of tennis elbow.

Choice C, inability to flex index and middle fingers, is not the correct answer because it is a symptom of trigger finger.

Choice D, tenderness in the affected wrist, is not the correct answer because it is a common symptom of wrist sprains or strains.

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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

A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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