A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure?
Sleep apnea
Disorientation
Tonic-clonic seizures
Paresthesias
The Correct Answer is B
Disorientation is a common side effect of ECT and is typically temporary. It may include confusion and difficulty recalling recent events or personal information. This post-treatment disorientation is often referred to as the "postictal state" and usually resolves within a short period of time.
Sleep apnea, tonic-clonic seizures, and paresthesias are not expected findings following ECT and would require immediate attention and intervention if they were to occur. It is important for the nurse to closely monitor the client's vital signs, oxygen saturation levels, and neurological status after the procedure to ensure their safety and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Do you have any plan for harming yourself?
When a client expresses suicidal ideations, the nurse's priority is to assess whether the client has a specific plan for harming themselves. This question helps determine the level of immediate risk and guides the nurse's actions in providing appropriate interventions and ensuring the client's safety.:
Can you tell me about the stresses in your life? In (option B) is incorrect. While understanding the client's stressors is important in assessing their overall mental health, it may not be the priority question in this situation. The immediate concern is to assess the presence of a specific plan for self-harm.
Do you have someone to discuss your feelings with? In (option C) is incorrect. Having someone to talk to about feelings can be beneficial for the client, but it is not the priority question in this situation. The primary focus is to assess the client's immediate risk and take appropriate actions to ensure their safety.
Has anyone in your family ever died by suicide? In (option D) is incorrect. Family history of suicide can be a risk factor for suicidal ideation, but it is not the priority question in this scenario. Assessing the client's current risk and immediate plan for self-harm is more crucial to determine the necessary interventions.
Correct Answer is B
Explanation
I can remove my security band to give it to a family member.
In healthcare facilities, security measures are implemented to ensure the safety and identification of patients and newborns. One common security measure is the use of identification bands for both the mother and the baby. These bands typically have matching identification numbers or barcodes that help staff members verify the identity of the individuals and ensure they are correctly paired.
Option A is incorrect because removing the security band and giving it to a family member would compromise the system's security and potentially lead to confusion or incorrect identification.
Option C is incorrect because taking the baby to the lobby to visit family can increase the risk of unauthorized individuals gaining access to the baby or potentially interfering with the security measures in place.
Option D is incorrect because carrying the baby to the nursery without following the facility's security protocols can also compromise the identification and safety measures.
The best response indicating an understanding of the teaching is option B, as it recognizes the importance of having an identification band that matches the one worn by the baby. This indicates awareness of the security measures in place and the need to ensure accurate identification and safety.
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