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A 24-Year-Old Male Arrives at the Emergency Department Via Air

Question 93

Multiple Choice

A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is unresponsive with sluggishly reactive pupils upon arrival. His right arm and bilateral lower extremities have obvious fractures. He was intubated by EMS and requires mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling with a midline shift. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-The RN administers the osmotic diuretic as ordered.Which of the following responses by the patient would indicate the therapeutic effectiveness of the drug?  


A) No response to painful stimuli
B) Minimal response to painful stimuli
C) Withdrawal to painful stimuli
D) Spontaneous movement

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