Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is minimally responsive with sluggishly reactive pupils upon arrival. He is requiring support with mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling. The patient has obvious fractures of his bilateral upper extremities and right leg. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-You administer the osmotic diuretic as ordered.Which of the following responses by the patient would indicate the therapeutic effectiveness of the drug?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
  A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is minimally responsive with sluggishly reactive pupils upon arrival. He is requiring support with mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling. The patient has obvious fractures of his bilateral upper extremities and right leg. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-You administer the osmotic diuretic as ordered.Which of the following responses by the patient would indicate the therapeutic effectiveness of the drug?

Quizplus · Accepted Answer

Spontaneous movement would indicate therapeutic effectiveness of the osmotic diuretic. The drug is given to reduce intracranial pressure, which can lead to improved cerebral blood flow and better neurological outcomes. If the patient shows spontaneous movement, it suggests that the drug is reducing the pressure and improving blood flow to the brain. Responses of no, minimal, or withdraw to painful stimuli do not necessarily indicate therapeutic effectiveness of the drug.

Please Read the Clinical Scenario, and Then Answer the Question