What Action Should the Nurse Take When Administering Hypertonic Saline

question 16

Multiple Choice

What action should the nurse take when administering hypertonic saline to a patient with increased intracranial pressure (ICP) ? Select all that apply.

• A) Monitor the patient for renal failure and pulmonary edema.
• B) Administer any concentrations greater than 2% through a central line.
• C) Monitor serum sodium levels frequently during administration.
• D) Expect the patient's neurologic status and ICP will begin to improve within 15 minutes following administration.
• E) Monitor the patient's serum osmolarity every 24 hours.

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