Chapter 20 Flashcards
A nurse administers pure oxygen to a client during and after electroconvulsive therapy. What is the nurse’s rationale for this procedure?
To prevent anoxia due to medication-induced paralysis of respiratory muscles
Immediately after electroconvulsive therapy, in which position should a nurse place the client?
On his or her side to prevent aspiration
A nursing instructor is teaching about electroconvulsive therapy (ECT). Which student statement indicates that learning has occurred?
“ECT induces a grand mal seizure.”
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?
Suicide assessment must continue throughout the ECT course.
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?
“It is within your right to discontinue the treatments, but let’s talk about your concerns.”
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?
Allow the client to remain in bed.
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?
Robinul decreases secretions to prevent aspiration during the ECT procedure.
A nursing instructor is teaching about the medications given prior to and during electroconvulsive therapy (ECT). Which student statement indicates that learning has occurred?
“Thiopental sodium (Pentothal) is a short-acting anesthesia to render the client unconscious.”
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?
The nurse notifies the client’s physician of the situation and cancels the ECT.
A client who is learning about electroconvulsive therapy (ECT) asks a nurse, “Isn’t this treatment dangerous?” Which is the most appropriate nursing reply?
“There are some risks, but a thorough examination will determine your candidacy for ECT.”
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?
The client will continue adequate tissue perfusion 1 hour after treatment.
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?
“The cuff functions to prevent succinylcholine from reaching the foot.”
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?
“Clients typically undergo 6 to 12 ECT procedures, three times a week in an outpatient setting.”
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?
“You may experience some memory deficit surrounding the ECT.”
When scheduling electroconvulsive therapy (ECT), which client should the nurse prioritize?
A client in bed in a fetal position who is experiencing active suicidal ideations
