Question

A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following findings should the nurse report to the provider as an adverse effect of this medication?

A) Increased urine output
B) Decreased intracranial pressure
C) Hypernatremia
D) Crackles in the lungs

Answer 1

The nurse should report hypernatremia as an adverse effect of mannitol administration in a client with increased intracranial pressure (ICP).

Step-by-step explanation:

The nurse should report hypernatremia as an adverse effect of mannitol administration in a client with increased intracranial pressure (ICP).

Mannitol is an osmotic diuretic that promotes water loss by osmosis. It works by attracting water and increasing urine output. However, it also increases the excretion of sodium, leading to hypernatremia (increased sodium levels).

Hypernatremia can cause neurological symptoms such as confusion, restlessness, and seizures. Thus, the nurse should promptly report this adverse effect to the healthcare provider for appropriate management.