Exhibits
Review H and P, nurse's notes, laboratory values, flow sheet, and prescriptions.
Click to mark whether the assessment finding represents a therapeutic result of the mannitol administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.
Peripheral edema
Potassium 2.9
Urine output 280 ml
Heart rate 79
Intracranial pressure 11mmHg
Oxygen saturation
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}
1. Peripheral edema: Non-therapeutic side effect
- Mannitol is an osmotic diuretic that can cause fluid shifts leading to peripheral edema, which is an unintended side effect.
2. Potassium 2.9: Non-therapeutic side effect
- Hypokalemia (low potassium) is a potential side effect of mannitol due to increased urinary excretion of electrolytes.
3. Urine output 280 mL: Therapeutic result
- Mannitol increases urine output as it promotes diuresis, which is the intended therapeutic effect.
4. Heart rate 79: Unrelated finding
- The heart rate of 79 beats/minute is within normal limits and is not directly related to the administration of mannitol.
5. Intracranial pressure 11 mmHg: Therapeutic result
- The decrease in intracranial pressure from 24 mmHg to 11 mmHg is a desired therapeutic outcome of mannitol, as it helps reduce cerebral edema.
6. Oxygen saturation: Unrelated finding
- The oxygen saturation of 99% is within normal limits and is not directly related to the administration of mannitol.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Taking doxycycline and birth control pills at different times is not necessary; the concern is about the interaction between the two medications rather than timing.
B. Doxycycline can reduce the effectiveness of birth control pills, so advising the client of this interaction is important for preventing unintended pregnancy.
C. There is no specific contraindication to tetracyclines with birth control; the primary concern is the interaction and its effect on efficacy.
D. There is no need for the client to stop taking birth control pills; rather, additional contraceptive methods should be considered.
Correct Answer is D
Explanation
A. Administering digoxin by another route is not appropriate for managing toxicity.
B. Cardioversion may be considered if there are significant arrhythmias, but the immediate action is to address the toxicity.
C. Potassium administration may be needed in the case of digoxin toxicity, especially if there is hypokalemia, but the first step is to check for electrolyte imbalances.
D. Checking acid-base and electrolyte values is crucial to manage digoxin toxicity effectively and guide further treatment.
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