A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.
The nurse should notify the provider for which of the following findings?.

Cardiac arrhythmia

Crohn's disease.

Renal colic.

Asthma.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Cardiac arrhythmia is a contraindication for electroconvulsive therapy (ECT) because ECT can cause changes in heart rate and blood pressure, which could be dangerous for someone with an existing heart condition.

Choice B rationale:

Crohn’s disease is not a contraindication for ECT. It is a chronic inflammatory bowel disease, and while it can cause significant health problems, it does not directly affect the safety or efficacy of ECT.

Choice C rationale:

Renal colic, a type of pain that can occur when a kidney stone is present, is not a contraindication for ECT. It is unrelated to the brain and nervous system and does not affect the safety or efficacy of ECT.

Choice D rationale:

Asthma is not a contraindication for ECT. While severe asthma should be well-controlled before any procedure that involves anesthesia, it is not a direct contraindication for ECT.

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Correct Answer is A

Explanation

Choice A rationale:

Administering lithium with meals can help reduce gastrointestinal upset, a common side effect of the medication.

Choice B rationale:

Lithium does not typically cause hypoglycemia. It primarily affects the nervous system and kidneys.

Choice C rationale:

There’s no need to decrease dietary potassium. Lithium can affect sodium levels, but not potassium.

Choice D rationale:

Increasing daily caloric intake is not necessary when taking lithium. The medication does not affect metabolism or caloric needs.

A. Administer an antianxiety medication B. Calculate the client's score on the Hamilton Rating Scale for Anxiety. C. Explain the use of response prevention to the client. D. Discuss the benefits of relaxation exercises with the client.

Correct Answer is B

Explanation

Choice A rationale:

Administering an antianxiety medication can help manage symptoms, but it’s not the first action a nurse should take.

Choice B rationale:

Calculating the client’s score on the Hamilton Rating Scale for Anxiety is the first step in assessing the severity of the client’s anxiety.

Choice C rationale:

Explaining the use of response prevention can be beneficial, but it’s not the first action the nurse should take.

Choice D rationale:

Discussing the benefits of relaxation exercises can help manage anxiety, but it’s not the first action the nurse should take.

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A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?.

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy.
The nurse should notify the provider for which of the following findings?.