A nurse is contributing to the plan of care for a client who is scheduled to receive electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse recommend to include in the plan?
Provide frequent reorientation after ECT.
Schedule follow-up ECT treatments 1 month apart.
Instruct the client to notify the provider if discomfort is felt during ECT.
Initiate NPO status 1 hr prior to ECT.
The Correct Answer is A
The correct answer is A.
Provide frequent reorientation after ECT. The rationale is that ECT can cause temporary memory loss and confusion, which can be distressing for the client. The nurse should help the client recall their name, location, date, and reason for ECT. The nurse should also reassure the client that their memory will improve over time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The face is incorrect: Facial skin colour can vary for many reasons, but it may not be the best indicator of jaundice in individuals with dark skin.
Choice B reason
Shoulders is incorrect: The shoulders are not typically indicative of jaundice.
Choice C reason:
Palm of the hands is incorrect: While the palm of the hands can sometimes show yellowing in cases of jaundice, it is less reliable than observing the sclera.
Choice D reason:
Sclera is the best location. In individuals with darker skin tones, yellowish discoloration of the skin due to jaundice can be more challenging to detect. However, the sclera of the eyes can still show noticeable yellowing, making it a reliable location for assessing jaundice in individuals with both light and dark skin.
Correct Answer is A
Explanation
The correct answer is A.
Wipe any excess medication from the inner canthus outward. Bacitracin ophthalmic ointment is an antibiotic that treats bacterial infections of the eye.
The nurse should apply a thin layer of ointment along the lower eyelid margin and wipe any excess medication from the inner canthus (the corner of the eye near the nose) outward with a sterile gauze pad or tissue to prevent clogging of tear ducts and spreading of infection.
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