{"id":139788,"date":"2024-09-17T17:24:53","date_gmt":"2024-09-17T17:24:53","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=139788"},"modified":"2024-09-17T17:24:56","modified_gmt":"2024-09-17T17:24:56","slug":"a-nurse-is-planning-to-administer-mannitol-to-a-client-who-has-heart-failure-and-pulmonary-edema","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/17\/a-nurse-is-planning-to-administer-mannitol-to-a-client-who-has-heart-failure-and-pulmonary-edema\/","title":{"rendered":"A nurse is planning to administer mannitol to a client who has heart failure and pulmonary edema."},"content":{"rendered":"\n

A nurse is planning to administer mannitol to a client who has heart failure and pulmonary edema. Which of the following actions should the nurse take before giving the medication?<\/p>\n\n\n\n

A.
Check the urine output.<\/p>\n\n\n\n

B.
Check the blood pressure.<\/p>\n\n\n\n

C.
Check the blood glucose.<\/p>\n\n\n\n

D.
Check the oxygen saturation.<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is B. Check the blood pressure<\/strong>.<\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Mannitol is an osmotic diuretic commonly used to reduce intracranial pressure, treat cerebral edema, and promote diuresis in clients with acute kidney injury or certain drug overdoses. However, when administering mannitol to a client with heart failure and pulmonary edema, it is crucial to evaluate certain parameters to ensure the drug is used safely.<\/p>\n\n\n\n

Why Checking Blood Pressure is Important:<\/strong><\/p>\n\n\n\n

Mannitol works by drawing fluid from tissues into the vascular space, which can increase the overall intravascular volume. In clients with heart failure and pulmonary edema, this increased fluid volume can exacerbate symptoms by further straining the heart and contributing to pulmonary congestion. Monitoring blood pressure before administering mannitol is critical because:<\/p>\n\n\n\n

    \n
  • Hypertension:<\/strong> A sudden increase in blood pressure can worsen heart failure or cause complications like hypertensive crises.<\/li>\n\n\n\n
  • Hypotension:<\/strong> Rapid fluid shifts could also lead to hypotension, as mannitol promotes diuresis and may result in significant fluid loss.<\/li>\n<\/ul>\n\n\n\n

    By assessing blood pressure, the nurse can determine whether the client is hemodynamically stable and decide whether administering mannitol is safe.<\/p>\n\n\n\n

    Other Options:<\/strong><\/p>\n\n\n\n

      \n
    • A. Check the urine output:<\/strong> While monitoring urine output is essential during and after mannitol administration to assess the drug\u2019s effectiveness, it is not the primary action before administering the medication in heart failure clients.<\/li>\n\n\n\n
    • C. Check the blood glucose:<\/strong> Mannitol does not directly affect blood glucose levels, so this is not a priority assessment.<\/li>\n\n\n\n
    • D. Check the oxygen saturation:<\/strong> While monitoring oxygen saturation is important in clients with pulmonary edema, it is not the most crucial action before administering mannitol. The focus is on fluid balance and the potential impact on blood pressure.<\/li>\n<\/ul>\n\n\n\n

      In conclusion, checking blood pressure before administering mannitol to a client with heart failure and pulmonary edema helps prevent worsening fluid overload and ensures hemodynamic stability.<\/p>\n","protected":false},"excerpt":{"rendered":"

      A nurse is planning to administer mannitol to a client who has heart failure and pulmonary edema. Which of the following actions should the nurse take before giving the medication? A.Check the urine output. B.Check the blood pressure. C.Check the blood glucose. D.Check the oxygen saturation. The Correct Answer and Explanation is: The correct answer […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139788","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139788"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139788\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139788"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}