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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Coiling the tubing on the bed above the collection bag helps to prevent the backflow of urine and maintains the integrity of the drainage system. This positioning allows for proper gravity drainage and prevents urine from pooling in the tubing.
Instructing the client to hold the drainage bag at waist height helps to ensure proper urine flow and prevent tension or pulling on the catheter. This positioning also prevents the bag from dragging on the floor, reducing the risk of contamination or accidental disconnection.
Securing the tubing with adhesive tape to the lower abdomen helps to prevent accidental pulling or dislodgment of the catheter. This ensures that the catheter remains in place and minimizes the risk of trauma or discomfort for the client.
If a sterile urine specimen is required, it should be collected using a separate sterile container and not directly from the urinary drainage bag. The drainage bag may contain contaminants or non-sterile elements, so a separate specimen collection method should be employed to ensure accuracy and prevent contamination.
Correct Answer is C
Explanation
During an external chemical disaster, it is crucial to minimize the exposure of clients to hazardous substances. Moving clients to a room above ground level with few windows can help reduce the risk of exposure to the chemical and its fumes. This is because many hazardous chemicals tend to be denser than air and may settle closer to the ground. Choosing a room above ground level and with fewer windows can provide a safer environment.
Turning on fans in the facility to circulate air can actually worsen the situation by spreading the chemical and its fumes throughout the facility, potentially exposing more individuals.
Covering the electrical outlets with wet towels is not directly related to preparing for an external chemical disaster. It may be more relevant during a fire emergency to prevent the spread of flames, but not for chemical exposure.
Opening the fireplace dampers in the day room can allow the entry of outside air and potentially introduce more of the hazardous substance into the facility.
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