Please Read the Clinical Scenario, and Then Answer the Question

question 84

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.
-Following the patient's surgical procedure,he is admitted to the neurological intensive care unit.Interventions are implemented to decrease intracranial pressure,including the administration of intravenous hypertonic saline.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:

Adults

Individuals who have reached the age at which they are considered to be legally responsible for their actions, typically 18 or older, and are fully developed.

Scientifically Based

Refers to methods or practices that are founded on evidence gathered through scientific research and empirical data.

Cognitive-Behavioral Therapy

A form of psychotherapy that addresses dysfunctional emotions, behaviors, and cognitions through a goal-oriented, systematic process.

Twelve-Step Approach

A set of guiding principles for recovery from addiction, compulsion, or other behavioral problems, emphasizing peer support and a spiritual foundation.