The client is in the hospital with increased intracranial pressure (IICP). The nurse should question which order for this client?
1. Mannitol
2. 10% dextrose with electrolytes
3. Lactated Ringer's solution
4. Loop diuretics
Answer: 2
1. Mannitol is an osmotic diuretic and is appropriate for a client with IICP.
2. 10% dextrose can cross the blood-brain barrier and cause rising pressures.
3. Lactated Ringer's is a solution that does not cross the blood-brain barrier and is appropriate for the client with IICP.
4. Loop diuretics are appropriate for the client with IICP.
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