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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. This disorder is characterized by sudden, rapid, recurrent motor movements and vocal tics, not slow, writhing movements caused by long-term antipsychotic use.

B. This is a dangerous reduction in white blood cells, typically presenting with fever, sore throat, or infections, not abnormal involuntary movements.

C. Anticholinergic side effects include dry mouth, blurred vision, constipation, urinary retention, not the repetitive, involuntary movements seen here.

D. This condition is a late-onset side effect of long-term use of antipsychotics, especially first-generation drugs like fluphenazine. It presents as grimacing, lip smacking, and slow, writhing movements of the neck and shoulders, consistent with the patient’s symptoms.

A. Drowsiness, constricted pupils, slurred speech B. Heightened sexuality, insomnia, euphoria C. Muscle aching, dilated pupils, tachycardia D. Anxiety, restlessness, paranoid delusions

Correct Answer is A

Explanation

A. Heroin is an opioid, which causes central nervous system depression, leading to drowsiness, miosis (pinpoint pupils), and slurred speech.

B. These are more typical of stimulant use such as cocaine or methamphetamine, not heroin.

C. These are withdrawal symptoms of opioids, not effects immediately following injection.

D. These are associated with stimulant intoxication or withdrawal, not opioid intoxication.

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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?

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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