The nurse administering mannitol (Osmitrol) must observe closely for a rebound effect of the intracranial pressure. If there is a rebound effect with mannitol, which of the following courses of action does the nurse need to take?
a. Call neurosurgery at once.
b. Leave a message for the physician at his or her office.
c. Write a nursing order for vital signs every 4 hours.
d. Start an intravenous infusion of Ringer's lactate.
A
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A Correct. In some children there may be a rebound effect with mannitol as it may increase cerebral blood flow. If this occurs, the signs of ICP will reappear with more intensity than originally noted. The nurse should call neurosurgery at once so other modalities to control the pressure can be initiated.
B Incorrect. The nurse should not leave a message for the physician at his or her office because increased ICP must be treated immediately.
C Incorrect. The nurse should not write a nursing order for vital signs every 4 hours.
D Incorrect. The nurse should not start an intravenous infusion of Ringer's lactate.
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