A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?

"This therapy works as a cure for major depressive disorders."

"You will be awake and alert during the procedure."

"You might experience confusion for a few hours after treatment."

"This therapy will stimulate the vagus nerve to improve your mood."

Answer and Explanation

The Correct Answer is C

Choice A reason:
Electroconvulsive therapy (ECT) is not considered a cure for major depressive disorders. While ECT can be highly effective in alleviating symptoms of severe depression, it does not prevent future episodes. Patients often require ongoing treatment with medications or psychotherapy to maintain the benefits of ECT.

Choice B reason:
During ECT, the patient is not awake and alert. The procedure is performed under general anesthesia, meaning the patient is unconscious and does not feel the electrical stimulation or the induced seizure. This ensures the procedure is painless and the patient is unaware during the treatment.

Choice C reason:
It is common for patients to experience confusion for a few hours after ECT. This confusion is partly due to the anesthesia and partly due to the treatment itself. In most cases, the confusion resolves within a few hours, but it can sometimes last longer, especially in older adults.

Choice D reason:
ECT does not stimulate the vagus nerve. Vagus nerve stimulation (VNS) is a different treatment that involves using a device to send electrical impulses to the vagus nerve. ECT works by inducing a controlled seizure in the brain, which can help alleviate symptoms of severe depression.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason:
Cocaine is a powerful stimulant drug that can cause an acute increase in heart rate and blood pressure. Hypertension is a common clinical manifestation associated with cocaine use due to its sympathomimetic effects, which stimulate the sympathetic nervous system. This can lead to vasoconstriction and increased cardiac output, resulting in elevated blood pressure levels.

Choice B reason:
Hypothermia is not typically associated with cocaine use. Cocaine tends to increase body temperature due to its stimulant properties, which can lead to hyperthermia rather than hypothermia. If hypothermia is present in a client who has used cocaine, it may be due to other factors or substances that the client has ingested.

Choice C reason:
Bradycardia, or a slower than normal heart rate, is not a common effect of cocaine use. Cocaine usually causes tachycardia, an increased heart rate, as part of its stimulant effect on the body. Bradycardia would be an unusual response and might suggest other medical issues or the influence of other substances.

A. Chlordiazepoxide B. Bupropion C. Disulfiram D. Buprenorphine

Correct Answer is A

Explanation

Choice A reason:
Chlordiazepoxide is a benzodiazepine commonly used in the management of alcohol withdrawal symptoms. It acts as a sedative and hypnotic, which helps in reducing the agitation and tremors associated with withdrawal. It is often the medication of choice due to its effectiveness in preventing seizures, which are a serious risk during the acute detoxification phase. The nurse can expect chlordiazepoxide to be prescribed as it helps in maintaining physiological stability and managing symptoms, ensuring the patient's safety and comfort during withdrawal.

Choice B reason:
Bupropion is an antidepressant and is not typically used for the treatment of acute alcohol withdrawal. It is primarily used for major depressive disorder and as an aid to quit smoking. Therefore, it would not be the expected medication for managing acute alcohol withdrawal symptoms.

Choice C reason:
Disulfiram is a medication used as a deterrent agent in chronic alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed, which helps to reinforce abstinence from alcohol use. However, it is not used for the acute management of alcohol withdrawal symptoms and is more appropriate for long-term treatment plans after the acute withdrawal phase has been managed.

Choice D reason:
Buprenorphine is an opioid used to treat opioid use disorder, chronic pain, and acute pain. It is not indicated for the treatment of alcohol withdrawal, which requires medications that can manage the hyperactivity of the central nervous system resulting from alcohol cessation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?

Correct Answer is A

Explanation

A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?

Correct Answer is A

Explanation

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should the nurse include?

A nurse is caring for a client who states, "Things will never work out." Which of the following responses should the nurse make?

A nurse in a mental health facility is admitting a client. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdown as evidenced by the client’s dropdown.

A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?

A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?