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 minutes following the procedure?
Tonic-clonic seizures
Paresthesias
Disorientation
Sleep apnea
The Correct Answer is C
A. Tonicclonic seizures might be part of the electroconvulsive therapy procedure itself, but they would typically occur during the treatment, not 15 minutes after.
B. Paresthesias (tingling or numbness. are not a common expected finding following electroconvulsive therapy?
C. Correct. Disorientation is a common side effect after electroconvulsive therapy and usually resolves over time.
D. Sleep apnea is not an expected finding following electroconvulsive therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Placing the client in a supine position may impede drainage and is not recommended for a client with a chest tube.
B. Correct. Ensuring that the chest tube drainage system is kept below the level of the client's chest allows for proper drainage of fluid and prevents backflow of drainage into the client's chest.
C. Incorrect. The collection chamber should be emptied as needed to prevent overfilling, which could obstruct drainage.
D. Incorrect. Clamping the chest tube is not indicated for a client with a chest tube set to continuous suction, as it would interfere with the function of the drainage system.
Correct Answer is C
Explanation
Since the client is prescribed home oxygen at 1 to 2 L/min, a nasal cannula is the most appropriate device for oxygen delivery in this scenario. A nasal cannula consists of two small prongs that are inserted into the client's nostrils, delivering oxygen directly into the nasal passages. It is a comfortable and commonly used device for low-flow oxygen therapy.
Petroleum jelly is not directly related to oxygen therapy and is not typically required for the use of a nasal cannula.
A reservoir bag is not typically used with a nasal cannula. It is a component of a different oxygen delivery system called a non-rebreather mask, which is used for high-flow oxygen therapy or in emergency situations.
An oxygen mask is also not typically used with a nasal cannula. It is a separate oxygen delivery device that covers the client's mouth and nose, delivering oxygen at a higher flow rate. Masks may be used in situations where higher concentrations or flows of oxygen are required, or when the client is unable to tolerate or use a nasal cannula effectively.
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