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. Rivastigmine is used to improve cognitive function in Alzheimer's disease and not specifically to promote sleep, so suggesting a medication change is not appropriate without further assessment.
B. Insomnia can be a side effect of rivastigmine, especially when starting the medication. It is often temporary and should improve as the body adjusts.
C. Withholding the medication or changing the dosage without guidance from the healthcare provider could impact the client's cognitive function and should not be done based on a single side effect.
D. Increasing the dosage of rivastigmine is not a solution for insomnia and could potentially exacerbate other side effects.
Correct Answer is B
Explanation
A. While feverfew can cause gastrointestinal issues, increased anxiety and nervousness are not commonly reported side effects.
B. Feverfew may cause allergic reactions in individuals with sensitivities to related plants like chamomile, ragweed, or yarrow, making this information crucial for preventing allergic reactions.
C. Gastrointestinal side effects like abdominal pain, gas, nausea, vomiting, and diarrhea are possible but are not as critical as the risk of an allergic reaction.
D. Interaction with aspirin or NSAIDs is a concern but is secondary to the importance of avoiding feverfew in individuals with known allergies to similar plants.
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