A nurse is preparing to assist with electroconvulsive therapy (ECT). Which of the following pieces of equipment should the nurse set up in the room prior to the treatment? (Select all that apply)
ELECTROENCEPHALOGRAM (EEG) MONITOR
OPHTHALMOSCOPE
CARDIAC MONITOR
BLOOD PRESSURE MONITOR
PORTABLE X-RAY MACHINE
Correct Answer : A,C,D
Choice A reason:
An electroencephalogram (EEG) monitor is essential for monitoring the brain’s electrical activity during ECT. This equipment helps ensure that the treatment is administered safely and effectively by providing real-time data on the patient’s brain waves. The EEG monitor is crucial for assessing the patient’s response to the therapy and detecting any abnormalities.
Choice B reason:
An ophthalmoscope is used to examine the interior structures of the eyes, which is not relevant to the ECT procedure. Therefore, it is not necessary to set up an ophthalmoscope in the room prior to ECT. The focus of ECT preparation is on monitoring the patient’s neurological and cardiovascular status, not on eye examinations.
Choice C reason:
A cardiac monitor is vital for tracking the patient’s heart rate and rhythm during ECT. This equipment helps detect any cardiac abnormalities or arrhythmias that may occur as a result of the treatment. Continuous cardiac monitoring ensures that any potential complications can be promptly addressed, making it an essential piece of equipment for ECT.
Choice D reason:
A blood pressure monitor is necessary for measuring the patient’s blood pressure before, during, and after the ECT procedure. Monitoring blood pressure is crucial for detecting any significant changes that could indicate cardiovascular stress or other complications. This equipment helps ensure the patient’s safety throughout the treatment.
Choice E reason:
A portable X-ray machine is not required for ECT. X-rays are used for imaging purposes, which are not part of the standard ECT procedure. The primary focus during ECT is on monitoring the patient’s neurological and cardiovascular status, making the portable X-ray machine unnecessary for this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Extrapyramidal symptoms (EPS) are a common adverse effect of haloperidol, a first-generation antipsychotic. EPS includes symptoms such as tremors, rigidity, bradykinesia, and tardive dyskinesia. These symptoms result from the drug’s effect on the dopaminergic pathways in the brain.
Choice B reason:
Intractable hiccups are not a known adverse effect of haloperidol. This symptom is more commonly associated with other conditions or medications, but not with antipsychotic drugs like haloperidol.
Choice C reason:
Excessive salivation is not typically associated with haloperidol. Antipsychotic medications can cause dry mouth rather than excessive salivation. This symptom is more commonly seen with other medications or conditions.
Choice D reason:
Fever is not a common adverse effect of haloperidol. While fever can occur in the context of neuroleptic malignant syndrome (a rare but serious reaction to antipsychotics), it is not a typical side effect of haloperidol use. The primary concern with haloperidol is the development of extrapyramidal symptoms.
Correct Answer is B
Explanation
Choice A reason:
While this response acknowledges the nurse’s feelings, it does not provide a constructive solution or address the underlying issue. It may come across as dismissive rather than supportive.
Choice B reason:
Establishing a therapeutic relationship is fundamental to effective nursing care. This response encourages the nurse to build rapport and trust with the clients, which can improve their engagement and cooperation in their care. It is a proactive and supportive suggestion.
Choice C reason:
Offering to assign another nurse does not address the issue of building a therapeutic relationship and may not be feasible. It also does not help the nurse develop skills to improve client interactions.
Choice D reason:
While clients in pain may exhibit disinterest, this response does not address the broader issue of establishing a therapeutic relationship. It focuses on a specific cause rather than providing a general strategy for improving client engagement.
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