Which is a potential serious adverse effect associated with mannitol (Osmitrol)?
a. Bradycardia
b. Fluid overload
c. Anaphylaxis
d. Fever
ANS: B
Mannitol, an osmotic agent, acts on blood volume by pulling fluid from the tissue spaces into the general circulation (blood). Patients should be assessed at regularly scheduled intervals for signs and symptoms of fluid overload, pulmonary edema, or heart failure. Osmotic agents are not likely to cause bradycardia, anaphylaxis, or fever.
You might also like to view...
A nurse reviews a female client's laboratory results. Which results from the client's urinalysis should the nurse recognize as abnormal?
a. pH 5.6 b. Ketone bodies present c. Specific gravity of 1.020 d. Clear and yellow color
A patient who developed chronic renal failure after a severe hypotensive episode has just been told that dialysis will be necessary for the rest of her life. She and her family are very upset and crying. What is the best nursing intervention?
A) Ask the family to leave, as they are upsetting the patient B) Administer intravenous sedation to the patient C) Encourage patient and family to express their feelings D) Begin dialysis education immediately
A 68-year-old patient has been admitted to the coronary care unit after an inferior myocardial infarction. The patient awakens during the night confused and disoriented. This may be in part because of
a. impaired sensation of peripheral receptors. b. increased nerve impulse conduction resulting in increased anxiety. c. deficiency in the temporofrontal function of the brain. d. inevitable dementia.
A patient states, "I have been trying to lose weight. I am not hungry at breakfast, so I wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner. Lately, I have noticed that my mood has been off
I seem to be more anxious, and my mood is lower.". Which response would be most appropriate? a. "As long as you are getting the nutrients you need, when you eat should not be affecting your mood.". b. "Perhaps you should divide your calories evenly between lunch and dinner. If your blood sugar is low, it could be responsible for feeling nervous.". c. "Eating breakfast is important. It improves mood, energy, and feelings of calm. Eating some of your calories in the morning might help your mood.". d. "You might want to talk with your doctor about using of kava kava for your depression.".