Diffuse Headache and Progressive Lethargy

question 59

Multiple Choice

Diffuse headache and progressive lethargy. Medical history is significant for hypertension and he is nonadherent to his medication. There is no history of head trauma. He drinks 1-2 beers daily and occasionally more on weekends. Temperature is 37 C (98.6 F) , blood pressure is 182/95 mm Hg, pulse is 65/min, and respirations are 9/min. On physical examination, the patient responds to painful stimuli only but does not move his right extremities to pain. The left pupil is larger than the right and is sluggish to react to the light. CT scan of the head shows left basal ganglia hemorrhage causing compression of left lateral ventricle and shift of the midline structures. Endotracheal intubation is performed for airway protection, and an intravenous bolus of mannitol is administered. Which of the following is the most likely acute effect of the medication given to this patient?

• A)A
• B)B
• C)C
• D)D