Please Read the Clinical Scenario, and Then Answer the Question

question 33

Multiple Choice

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
A 24-year-old male arrives at the emergency department via air transport after sustaining a fall while rock climbing. The patient is minimally responsive with sluggishly reactive pupils upon arrival. He is requiring support with mechanical ventilation. A CT scan reveals multiple head bleeds and intracranial swelling. The patient has obvious fractures of his bilateral upper extremities and right leg. The patient is rushed to surgery with the plan to relieve the pressure of the intracranial swelling.
-The physician orders administration of an intravenous osmotic diuretic as the patient is en route to surgery.As the RN,you are familiar with the action of the drug,which increases the osmolarity of the blood.Which of the following do you anticipate as the therapeutic response to the administration of this medication?

• A)decreased extravascular volume and increased intravascular volume
• B)decreased extravascular volume and decreased intravascular volume
• C)increased extravascular volume and increased intravascular volume
• D)increased extravascular volume and decreased intravascular volume

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Definitions:

Supplies Expense

Costs incurred from the purchase of supplies that are used within the operation of a business.

Credit

An accounting entry that decreases assets or increases liabilities and equity on the company's balance sheet, or in the context of banking, the provision of funds or resources to a recipient.

Prepaid Expenses

Costs paid in advance for goods or services that will be used or consumed over time, recorded as assets on the balance sheet.

Accrued Expenses

Expenses that have been incurred but not yet paid or recorded at the end of a reporting period.