The nurse is completing a plan of care on a postoperative craniotomy patient with a diagnosis of risk for imbalanced fluid volume related to osmotic diuretic use
An appropriate intervention for this diagnosis would consist of which of the following?
A) Changing the patient's position as indicated
B) Monitoring serum electrolytes
C) Maintaining NPO status
D) Monitoring arterial blood gas (ABG) values
Ans: B
Feedback: When a patient is receiving osmotic diuretics, it is important to monitor serum electrolytes, specifically potassium. Also, a patient receiving osmotic diuretics should have a serum osmolality drawn to assess hydration status. Patients receiving mannitol should have an indwelling urinary catheter to monitor urinary output and manage the resulting diuresis. Changing the patient's position, maintaining an NPO status, and monitoring ABG values do not relate to the nursing diagnosis of risk for imbalanced fluid volume.
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