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.
-The physician orders administration of an intravenous osmotic diuretic as the patient is en route to surgery.As the RN,you are familiar with the action of the drug,which increases the osmolarity of the blood.Which of the following do you anticipate as the therapeutic response to the administration of this medication?

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.
-The physician orders administration of an intravenous osmotic diuretic as the patient is en route to surgery.As the RN,you are familiar with the action of the drug,which increases the osmolarity of the blood.Which of the following do you anticipate as the therapeutic response to the administration of this medication?

Quizplus · Accepted Answer

The osmotic diuretic increases the osmolarity of the blood, drawing fluid from the extravascular space (such as the brain) into the intravascular space, thereby decreasing extravascular volume and increasing intravascular volume.

Please Read the Clinical Scenario, and Then Answer the Question