A nurse is caring for a client who has major depressive disorder and is scheduled for electroconvulsive therapy (ECT). The client's spouse asks the nurse about the possible side effects of the ECT. Which of the following responses should the nurse make?
"The most common side effects are directly related to the use of anesthesia."
The main side effects are temporary, and may include mild confusion, a headache, and short-term memory loss."
"Most clients have no adverse effects to this treatment, but muscle cramping may result from the induced seizure."
"Some clients have been known to have a myocardial infarction, but we will monitor your spouse closely to be certain this does not happen."
The Correct Answer is B
A. While anesthesia is used, the side effects from it are not the main concern with ECT.
B. The most common side effects are mild confusion, headache, and short-term memory loss, which are typically temporary.
C. Muscle relaxants are given before the procedure to prevent cramping or injury from the seizure.
D. Myocardial infarction is not a common side effect; this response could unnecessarily alarm the spouse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Haloperidol, a typical antipsychotic, commonly causes extrapyramidal side effects (EPS) such as muscle stiffness, rigidity, tremors, and sedation, which can make patients feel “robotic.”
B. Headache, watery eyes, and runny nose are not typical side effects of haloperidol; they are more consistent with allergy or upper respiratory symptoms.
C. Mild fever, sore throat, and skin rash could indicate a serious reaction such as agranulocytosis, which is rare and more common with atypical antipsychotics like clozapine.
D. Sweating, nausea, and diarrhea are not primary side effects of haloperidol; they may occur with other medications or conditions but are not typical EPS.
Correct Answer is C
Explanation
A. While communication may improve indirectly, the primary goal of stimulant therapy for ADHD is to reduce hyperactivity and impulsivity, not directly increase verbal expressiveness.
B. This may be a secondary benefit, but the main desired outcome is improved behavioral control during social interactions, particularly in play.
C. Stimulant medications like amphetamine salts help the child control impulsive behavior, reduce hyperactivity, and improve attention, allowing participation in cooperative play and structured activities.
D. Self-regulation skills develop with behavioral interventions and therapy, not directly from medication alone.
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