A patient is prescribed mannitol for increased intracranial pressure. What should the nurse monitor? (Select all that apply)
Serum Glucose Levels
Heart Rate
Respiration Rate
Urine Output
Serum Potassium Levels
Correct Answer : D,E
(A) Serum Glucose Levels: Mannitol does not significantly affect glucose metabolism.
(B) Heart Rate: It does not directly impact heart rate, though secondary effects like dehydration may influence it.
(C) Respiration Rate: Mannitol does not directly impact respiratory function.
(D) Urine Output: Mannitol is an osmotic diuretic that increases urine output. Monitoring urine output helps assess the drug’s effectiveness and prevent dehydration or hypovolemia.
(E) Serum Potassium Levels: Mannitol causes diuresis, which can lead to electrolyte imbalances, including hypokalemia. Monitoring potassium levels helps prevent complications like arrhythmias.
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Related Questions
Correct Answer is ["D","E"]
Explanation
(A) Serum Glucose Levels: Mannitol does not significantly affect glucose metabolism.
(B) Heart Rate: It does not directly impact heart rate, though secondary effects like dehydration may influence it.
(C) Respiration Rate: Mannitol does not directly impact respiratory function.
(D) Urine Output: Mannitol is an osmotic diuretic that increases urine output. Monitoring urine output helps assess the drug’s effectiveness and prevent dehydration or hypovolemia.
(E) Serum Potassium Levels: Mannitol causes diuresis, which can lead to electrolyte imbalances, including hypokalemia. Monitoring potassium levels helps prevent complications like arrhythmias.
Correct Answer is A
Explanation
(A) Seizures: Severe hyponatremia (Na+ < 120 mEq/L) can cause cerebral edema, leading to increased intracranial pressure and seizures.
(B) Hyperreflexia: More common in hypernatremia or hypocalcemia, not hyponatremia.
(C) Bradycardia: Severe hyponatremia usually causes tachycardia, not bradycardia.
(D) Hypertension: Hyponatremia often leads to hypotension due to fluid shifts.
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