Exam 20: Electroconvulsive Therapy

A nursing student is observing an ECT procedure.The student notices a blood pressure cuff on the client's lower leg.The student questions the instructor about the cuff placement.Which is the most accurate instructor reply?

A nursing instructor is teaching about the medications given prior to and during ECT.Which student statement indicates learning has occurred?

A nurse administers pure oxygen to a client during and after electroconvulsive therapy (ECT).What is the nurse's rationale for this procedure?

A client is scheduled for an initial ECT procedure.Which information will the nurse include when teaching about the potential side effects of ECT?

A nursing instructor is teaching about ECT.Which student statement indicates that learning has occurred?

Which of the following conditions place a client at risk for injury during ECT? Select all that apply.

A client scheduled for ECT at 9:00 a.m.is discovered eating breakfast at 8:00 a.m.Based on this observation,which is the most appropriate nursing action?

Which position should the nurse place the client in immediately after ECT?

Which assessment results should the nurse evaluate and report to prepare a client for ECT? Select all that apply.

A client who is learning about ECT asks a nurse,"Isn't this treatment dangerous?" Which is the most appropriate nursing reply?

After undergoing two of nine ECT procedures,a client states,"I can't even remember eating breakfast,so I want to stop the ECT." Which is the most appropriate nursing reply?

A nurse administers ordered preoperative glycopyrrolate (Robinul)30 minutes prior to a client's ECT procedure.What is the rationale for administering this medication?

A chronically depressed and suicidal client is admitted to a psychiatric unit.The client is scheduled for ECT.During the course of ECT,a nurse should recognize the continued need for which critical intervention?

A client with cognitive deficits is extremely suicidal.The client has not responded to antidepressants and the treatment team is considering ECT.Which client information would impact the feasibility of this treatment option?

During a course of 12 ECT procedures,an anxious client diagnosed with MDD refuses to bathe or attend group therapy.The client reports some memory problems and says he has trouble figuring out what time of day it is.Which of the following nursing diagnoses should be assigned to this client? Select all that apply.

A client experienced bradycardia during ECT.A nurse assigns a nursing diagnosis of decreased cardiac output R/T vagal stimulation occurring during ECT.Which outcome would the nurse expect the client to achieve?

A client states,"My doctor has told me I am a candidate for ECT.Where will the treatment take place,and how much time would this entail?" Which nursing reply is best?

Immediately after an initial ECT procedure,a client states,"I'm not hungry and just want to stay in bed and sleep." Based on this information,which is the most appropriate nursing intervention?

The nurse recognizes that ECT would potentially improve the symptoms of clients with which of the following diagnoses? Select all that apply.

When scheduling ECT,which client should the nurse prioritize?