Exam 20: Electroconvulsive Therapy

A nursing student is observing an electroconvulsive therapy (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 client experienced bradycardia during electroconvulsive therapy (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 nurse administers pure oxygen to a client during and after electroconvulsive therapy.What is the nurse's rationale for this procedure?

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

A client is scheduled for an initial electroconvulsive therapy (ECT)procedure.Which information should a nurse include when teaching about the potential side effects of this procedure?

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

A nurse should recognize that electroconvulsive therapy (ECT)would potentially improve the symptoms of clients with which of the following diagnoses? Select all that apply.

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

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

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

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

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

Immediately after an initial electroconvulsive therapy (ECT)procedure,a client states,"I'm not hungry and just want to stay in bed and sleep." On the basis of this information,which is the most appropriate nursing intervention?

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

Which assessment results should a nurse evaluate and report in the process of clearing a client for electroconvulsive therapy (ECT)? Select all that apply.

A client scheduled for electroconvulsive therapy (ECT)at 9:00 a.m.is discovered eating breakfast at 8:00 a.m.On the basis of this observation,which is the most appropriate nursing action?

When scheduling electroconvulsive therapy (ECT),which client should the nurse prioritize?

Immediately after electroconvulsive therapy,in which position should a nurse place the client?

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

After undergoing two of nine electroconvulsive therapy (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?