If blood pressure can now be checked electronically, why do nurses still need stethoscopes?

If blood pressure can now be checked electronically, why do nurses still need stethoscopes?
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1 Answer

Answer :

Yes, we still need and use stethoscopes. Sometimes, the machines are unable to get a reading. Also, checking it manually is more accurate. We also use our stethoscopes for other things, like listening to your heart, lungs, and abdomen.
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Description : 63. A hypertensive client is taking herbal supplement for his hypertension. He was prescribed antihypertensive medication. The client wants to continue taking his herbal medication to lower his blood pressure. The nurse’s most appropriate action is to

Last Answer : B. Tell the client that herbal supplements have no proven therapeutic effects

In the United States, nurses performing invasive procedures need to be up-to-date with their immunizations, particularly a) Hepatitis B. Hepatitis B is transmitted through contact with infected blood or plasma. b) Hepatitis E. Hepatitis E is found mainly in underdeveloped countries with substandard sanitation and water quality. c) Hepatitis A. hepatitis A is transmitted through the oral route from the feces and saliva of an infected person. d) Hepatitis C. At present, immunization against hepatitis C is not available.

Description : In the United States, nurses performing invasive procedures need to be up-to-date with their immunizations, particularly a) Hepatitis B. Hepatitis B is transmitted through contact with infected blood ... infected person. d) Hepatitis C. At present, immunization against hepatitis C is not available.

Last Answer : a) Hepatitis B. Hepatitis B is transmitted through contact with infected blood or plasma.

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Description : What do nurses need on a daily basis?

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69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Description : 69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Last Answer : C. Check the physician’s order in case CBG is below 70 mg/dl

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Description : What do licensed practical nurses do?

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Description : For nurses about insertting IV's and giving Shots?

Last Answer : When I was a kid my best friends mom went to nursing school. She practiced a lot on fruit. Eventually it just wasn’t such a big deal.

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Description : How much do intensive care Nurses make?

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Description : What hours nurses work?

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The nurse’s base knowledge of primary immunodeficiencies includes which of the following statements? Primary immunodeficiencies a) develop early in life after protection from maternal antibodies decreases. These disorders may involve one or more components of the immune system.

Description : The nurse's base knowledge of primary immunodeficiencies includes which of the following statements? Primary immunodeficiencies a) develop early in life after protection from maternal antibodies decreases ... . Without treatment, infants and children with these disorders seldom survive to adulthood.

Last Answer : a) develop early in life after protection from maternal antibodies decreases. These disorders may involve one or more components of the immune system.

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Description : The basic difference between nursing diagnoses and collaborative problems is that a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic ... or potential health problems that can be managed by independent nursing interventions.

Last Answer : a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic complications that nurses monitor to detect onset or changes and manage ... physician-prescribed and nursing-prescribed interventions to minimize the complications of events.

A major goal for home care nurses is a) Restoring maximum health function. Tertiary preventive nursing care, focusing on rehabilitation and restoring maximum health function, is a goal for home care nurses. b) Promoting the health of populations. Promoting the health of populations is a focus of community/public health nursing. c) Minimizing the progress of disease. Minimizing the progress of disease is a focus of community/public health nursing. d) Maintaining the health of populations. Maintaining the health of populations is a focus of community/public health nursing.

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Last Answer : a) Restoring maximum health function. Tertiary preventive nursing care, focusing on rehabilitation and restoring maximum health function, is a goal for home care nurses.

Which of the following categories identifies the focus of community/public health nursing practice? a) Promoting and maintaining the health of populations and preventing and minimizing the progress of disease Although nursing interventions used by public health nurses might involve individuals, families, or small groups, the central focus remains promoting health and preventing disease in the entire community. b) Rehabilitation and restorative services Rehabilitation and restorative services are the focus of extended care facilities and home care nursing.

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86. The change of shift report of nurses describes the following except

Description : 86. The change of shift report of nurses describes the following except

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The Code of Ethics states that the nurse’s primary commitment is to the client whether an individual of family, group or community. Which nursing activity would best demonstrate the ethical principle called justice? A. The nurse providing care on a “first come – first served” basis B. Referring the client for evaluation to the social worker on duty regarding her socio-economic status C. The client’s preference is least considered D. The nurse’s providing care to maximize health according to available resources

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Last Answer : A. The nurse providing care on a “first come – first served” basis

Nurse Mercy is setting up for an emergency caesarian section. The linen packs were damp although these were just taken from the sterilizer. The nurse’s appropriate action is A. Bring the linen packs back to the Central Supply section for quality control B. Change the damp linen pack C. Open the linen pack and allow to dry D. Do not use the damp linen

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Last Answer : D. Do not use the damp linen

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77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a vial that is almost empty. She was able to aspirate 60 mg only. Nurse Kristine decided to inject it instead of making the client wait until the next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Description : 77. Nurse Kristine is to inject Demerol 75 mg to a post-TURP (transurethral resection of the prostate) client who is in pain. When she checked the narcotic cabinet, she found out a ... next Demerol vial is available. The action of the nurse violates which of the following ethical principles?

Last Answer : A. Justice

The charge nurse reported to the chief nurse that the Demerol 50 cc vial inventory has been incorrect for the last 24 hours. The most appropriate action of the narcotic nurse is: A. Log every injection of Demerol B. Make fraction dosage like 0.5 ml as 1 ml C. Demerol inventory must be checked every endorsement by the narcotic nurse D. Review endorsement of clients who received Demerol within the last 24 hours

Description : The charge nurse reported to the chief nurse that the Demerol 50 cc vial inventory has been incorrect for the last 24 hours. The most appropriate action of the narcotic nurse is: A. Log ... by the narcotic nurse D. Review endorsement of clients who received Demerol within the last 24 hours

Last Answer : D. Review endorsement of clients who received Demerol within the last 24 hours

Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.

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A patient who has had a previous stroke and is taking warfarin tells the nurse that he started taking garlic to help reduce his blood pressure. The nurse knows that garlic when taken together with warfarin a) can greatly increase the international normalization ratio (INR) and therefore increase the risk of bleeding. Garlic and warfarin taken together can greatly increase the INR, increasing the risk of bleeding.

Description : A patient who has had a previous stroke and is taking warfarin tells the nurse that he started taking garlic to help reduce his blood pressure. The nurse knows that garlic when taken ... headaches. Garlic and warfarin taken together can greatly increase the INR, increasing the risk of bleeding.

Last Answer : a) can greatly increase the international normalization ratio (INR) and therefore increase the risk of bleeding. Garlic and warfarin taken together can greatly increase the INR, increasing the risk of bleeding.

Trousseau’s sign is positive when a) carpopedal spasm is induced by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff. A positive Trousseau’s sign is suggestive of latent tetany.

Description : Trousseau's sign is positive when a) carpopedal spasm is induced by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff. A positive Trousseau's sign is ... Homans' sign is demonstrated when the patient complains of pain in the calf when his foot is dorsiflexed.

Last Answer : a) carpopedal spasm is induced by occluding the blood flow to the arm for 3 minutes with the use of a blood pressure cuff. A positive Trousseau’s sign is suggestive of latent tetany.

Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period. a) 140, 90 According to the categories of blood pressure levels established by the JNC VI, stage 1 hypertension is demonstrated by a systolic pressure of 140–159 or a diastolic pressure of 90–99.

Description : Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period. a) ... , 70 Pressure of 120 systolic and 70 diastolic falls within the normal range for an adult.

Last Answer : a) 140, 90 According to the categories of blood pressure levels established by the JNC VI, stage 1 hypertension is demonstrated by a systolic pressure of 140–159 or a diastolic pressure of 90–99.

Which of the following terms is given to hypertension in which the blood pressure, which is controlled with therapy, becomes uncontrolled (abnormally high) with the discontinuation of therapy? a) Rebound Rebound hypertension may precipitate a hypertensive crisis. b) Essential Essential or primary hypertension denotes high blood pressure from an unidentified source. c) Primary Essential or primary hypertension denotes high blood pressure from an unidentified source. d) Secondary Secondary hypertension denotes high blood pressure from an identified cause, such as renal disease.

Description : Which of the following terms is given to hypertension in which the blood pressure, which is controlled with therapy, becomes uncontrolled (abnormally high) with the discontinuation of therapy? ... Secondary hypertension denotes high blood pressure from an identified cause, such as renal disease.

Last Answer : a) Rebound Rebound hypertension may precipitate a hypertensive crisis.

A classic sign of cardiogenic shock is a) Tissue hypoperfusion Tissue hypoperfusion is manifested as cerebral hypoxia (restlessness, confusion, agitation). b) High blood pressure Low blood pressure is a classic sign of cardiogenic shock. c) Hyperactive bowel sounds Hypoactive bowel sounds are classic signs of cardiogenic shock. d) Increased urinary output Decreased urinary output is a classic sign of cardiogenic shock.

Description : A classic sign of cardiogenic shock is a) Tissue hypoperfusion Tissue hypoperfusion is manifested as cerebral hypoxia (restlessness, confusion, agitation). b) High blood pressure Low blood pressure is ... . d) Increased urinary output Decreased urinary output is a classic sign of cardiogenic shock.

Last Answer : a) Tissue hypoperfusion Tissue hypoperfusion is manifested as cerebral hypoxia (restlessness, confusion, agitation).

Central venous pressure is measured in which of the following heart chambers? a) Right atrium The pressure in the right atrium is used to assess right ventricular function and venous blood return to the heart. b) Left atrium The left atrium receives oxygenated blood from the pulmonary circulation. c) Left ventricle The left ventricle receives oxygenated blood from the left atrium. d) Right ventricle The right ventricle is not the central collecting chamber of venous circulation.

Description : Central venous pressure is measured in which of the following heart chambers? a) Right atrium The pressure in the right atrium is used to assess right ventricular function and venous blood return ... d) Right ventricle The right ventricle is not the central collecting chamber of venous circulation.

Last Answer : a) Right atrium The pressure in the right atrium is used to assess right ventricular function and venous blood return to the heart.

When measuring the blood pressure in each of the patient’s arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures. b) must be equal in both arms. The pressures in each arm do not have to be equal in order to be considered normal. c) may vary 10 mm Hg or more between arms. Pressures that vary more than 10 mm Hg between arms indicate an abnormal finding. d) may vary, with the higher pressure found in the left arm. The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

Description : When measuring the blood pressure in each of the patient's arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in ... . The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

Last Answer : a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures.

The nurse recognizes which of the following signs as typical of the patient in shock? a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate. b) Flushed face Pallor is an indicator of shock. c) Warm, dry skin Skin is generally cool and moist in shock. d) Increased urine output Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

Description : The nurse recognizes which of the following signs as typical of the patient in shock? a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate. b) Flushed face Pallor is ... urine output Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

Last Answer : a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate.

Which of the following vasoactive drugs used in treating shock results in reduced preload and afterload, reducing oxygen demand of the heart? a) Nitroprusside (Nipride) A disadvantage of nitroprusside is that it causes hypotension. b) Dopamine (Intropin) Dopamine improves contractility, increases stroke volume, and increases cardiac output. c) Epinephrine (adrenaline) Epinephrine improves contractility, increases stroke volume, and increases cardiac output. d) Methoxamine (Vasoxyl) Methoxamine increases blood pressure by vasoconstriction.

Description : Which of the following vasoactive drugs used in treating shock results in reduced preload and afterload, reducing oxygen demand of the heart? a) Nitroprusside (Nipride) A disadvantage ... increases cardiac output. d) Methoxamine (Vasoxyl) Methoxamine increases blood pressure by vasoconstriction.

Last Answer : a) Nitroprusside (Nipride) A disadvantage of nitroprusside is that it causes hypotension.

Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits. b) Refractory The refractory or irreversible stage of shock represents the point at which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Description : Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg? a) Progressive In the progressive stage of ... which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Last Answer : a) Progressive In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits.

Attorneys can now submit documents electronically in many courts; the standard format in federal courts is ____. a. Microsoft Word (DOC) b. Portable Document Format (PDF) c. Encapsulated Postscript (EPS) d. Postscript (PS)

Description : Attorneys can now submit documents electronically in many courts; the standard format in federal courts is ____. a. Microsoft Word (DOC) b. Portable Document Format (PDF) c. Encapsulated Postscript (EPS) d. Postscript (PS)

Last Answer : b. Portable Document Format (PDF)

The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Description : The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the ... Complaints of the knee locking are associated with functioning of the injured knee prior to arthroscopy.

Last Answer : a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, gastric cancer still accounts for 12,800 deaths annually.

Description : Which of the following statements regarding gastric cancer is accurate? a) The incidence of cancer of the stomach continues to decrease in the United States. While the incidence continues to decrease, ... in smoked foods and low in fruits and vegetables may increase the risk of gastric cancer.

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What percentage of patients who survived the polio epidemic of the 1950s are now estimated to have developed post-polio syndrome? a) 60-80% Patients who survived the polio epidemic of the 1950s, many now elderly, are developing new symptoms of weakness, fatigue and musculoskeletal pain. It is estimated that between 60% and 80% of the 640,000 polio survivors are experiencing the phenomenon known as post-polio syndrome.

Description : What percentage of patients who survived the polio epidemic of the 1950s are now estimated to have developed post-polio syndrome? a) 60-80% Patients who survived the polio epidemic of the 1950s ... 80% of patients who survived the polio epidemic of the 1950s are now experiencing post-polio syndrome.

Last Answer : a) 60-80% Patients who survived the polio epidemic of the 1950s, many now elderly, are developing new symptoms of weakness, fatigue and musculoskeletal pain. It is estimated that between 60% and 80% of the 640,000 polio survivors are experiencing the phenomenon known as post-polio syndrome.

A patient has had neurologic deficits lasting for more than 24 hours, and now the symptoms are resolving. The nurse concludes that the patient has had which type of stroke? a) Reversible ischemic neurologic deficit With a reversible ischemic neurologic deficit, the patient has more pronounced signs and symptoms that last more than 24 hours; symptoms resolve in a matter of days without any permanent neurologic deficit.

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Last Answer : a) Reversible ischemic neurologic deficit With a reversible ischemic neurologic deficit, the patient has more pronounced signs and symptoms that last more than 24 hours; symptoms resolve in a matter of days without any permanent neurologic deficit.

Which of the following terms is used to describe a tachycardia characterized by abrupt onset, abrupt cessation, and a QRS of normal duration? a) Paroxysmal atrial tachycardia PAT is often caused by a conduction problem in the AV node and is now called AV nodal reentry tachycardia. b) Sinus tachycardia Sinus tachycardia occurs when the sinus node regularly creates an impulse at a faster-than-normal rate. c) Atrial flutter Atrial flutter occurs in the atrium and creates an atrial rate between 250-400 times per minute. d) Atrial fibrillation Atrial fibrillation causes a rapid, disorganized, and uncoordinated twitching of atrial musculature.

Description : Which of the following terms is used to describe a tachycardia characterized by abrupt onset, abrupt cessation, and a QRS of normal duration? a) Paroxysmal atrial tachycardia PAT ... fibrillation Atrial fibrillation causes a rapid, disorganized, and uncoordinated twitching of atrial musculature.

Last Answer : a) Paroxysmal atrial tachycardia PAT is often caused by a conduction problem in the AV node and is now called AV nodal reentry tachycardia.

If a case of smallpox is suspected, the nurse should a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office at 770-488-7100. The CDC will respond by immmediate provision of diagnostic support and eventual release of vaccine if a case is confirmed. Until instructed otherwise by the CDC, healthcare providers should carefully establish isolation with negative pressure, and maintain thorough lists of all those who have contact with the patient.

Description : If a case of smallpox is suspected, the nurse should a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office ... very different from that of chickenpox. With chickenpox, lesions appear at different developmental stages.

Last Answer : a) Call the CDC Emergency Preparedness Office. Anyone suspecting a case of smallpox should call the CDC Emergency Preparedness Office at 770-488-7100. The CDC will respond by immmediate provision ... with negative pressure, and maintain thorough lists of all those who have contact with the patient.

Injury to the ______ nerve as a result of pressure is a cause of footdrop. a) Peroneal Injury to the peroneal nerve as a result of pressure is a cause of footdrop.

Description : Injury to the ______ nerve as a result of pressure is a cause of footdrop. a) Peroneal Injury to the peroneal nerve as a result of pressure is a cause of footdrop. b) Sciatic Injury to the ... footdrop. d) Achilles Injury to the peroneal nerve as a result of pressure is a cause of footdrop.

Last Answer : a) Peroneal Injury to the peroneal nerve as a result of pressure is a cause of footdrop.

Medical management of arthropod-borne virus (arboviral) encephalitis is aimed at a) controlling seizures and increased intracranical pressure. There is no specific medication for arboviral encephalitis. Medical management is aimed at controlling seizures and increased intracranial pressure.

Description : Medical management of arthropod-borne virus (arboviral) encephalitis is aimed at a) controlling seizures and increased intracranical pressure. There is no specific medication for arboviral ... muscular atrophy. Medical management is aimed at controlling seizures and increased intracranial pressure.

Last Answer : a) controlling seizures and increased intracranical pressure. There is no specific medication for arboviral encephalitis. Medical management is aimed at controlling seizures and increased intracranial pressure.

Of the following stimuli, which is known to trigger an episode of autonomic hyperreflexia in the patient who has suffered a spinal cord injury? a) Applying a blanket over the patient An object on the skin or skin pressure may precipitate an autonomic hyperreflexic episode.

Description : Of the following stimuli, which is known to trigger an episode of autonomic hyperreflexia in the patient who has suffered a spinal cord injury? a) Applying a blanket over the patient An ... lower blood pressure. d) Voiding The most common cause of autonomic hyperreflexia is a distended bladder.

Last Answer : a) Applying a blanket over the patient An object on the skin or skin pressure may precipitate an autonomic hyperreflexic episode.

Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or return to the ED if the patient a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Description : Before the patient diagnosed with a concussion is released from the Emergency Department, the nurse teaches the family or friends who will be tending to the patient to contact the physician or ... for short periods of time. Difficulty in waking the patient should be reported or treated immediately.

Last Answer : a) vomits. Vomiting is a sign of increasing intracranial pressure and should be reported immediately.

Later signs of increased intracranial pressure (ICP) later include which of the following? a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the medulla.

Description : Later signs of increased intracranial pressure (ICP) later include which of the following? a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the ... , the pulse pressure (the difference between the systolic and the diastolic pressure) widens.

Last Answer : a) Projectile vomiting Projectile vomiting may occur with increased pressure on the reflex center in the medulla.

Which of the following positions are employed to help reduce intracranial pressure (ICP)? a) Avoiding flexion of the neck with use of a cervical collar Use of a cervical collar promotes venous drainage and prevents jugular vein distortion that will increase ICP.

Description : Which of the following positions are employed to help reduce intracranial pressure (ICP)? a) Avoiding flexion of the neck with use of a cervical collar Use of a cervical collar promotes venous ... an increase in intra-abdominal pressure and intrathoracic pressure, which can produce a rise in ICP.

Last Answer : a) Avoiding flexion of the neck with use of a cervical collar Use of a cervical collar promotes venous drainage and prevents jugular vein distortion that will increase ICP.

An osmotic diuretic, such as Mannitol, is given to the patient with increased intracranial pressure (IICP) in order to a) dehydrate the brain and reduce cerebral edema. Osmotic diuretics draw water across intact membranes, thereby reducing the volume of brain and extracellular fluid.

Description : An osmotic diuretic, such as Mannitol, is given to the patient with increased intracranial pressure (IICP) in order to a) dehydrate the brain and reduce cerebral edema. Osmotic diuretics ... Medications such as barbiturates are given to the patient with IICP to reduce cellular metabolic demands.

Last Answer : a) dehydrate the brain and reduce cerebral edema. Osmotic diuretics draw water across intact membranes, thereby reducing the volume of brain and extracellular fluid.