What should the nurse preparing a patient for a scheduled appointment for electroconvulsive therapy (ECT) remind the patient to do?
Be prepared for visual disturbances after the treatment.
Drink plenty of fluids before ECT to ensure adequate hydration.
Bring a change of clothes in case of incontinence.
Arrange for transportation to and from the appointment.
The Correct Answer is D
A. Visual disturbances are not a common side effect of ECT. The more typical side effects of ECT include temporary memory loss, confusion, or headache. The patient should be informed about these potential side effects, but visual disturbances are not specifically associated with ECT.
B. Hydration is important for overall health, but it is not a specific requirement for ECT preparation. The primary preparation involves fasting, as patients are usually required to fast for several hours before the procedure to minimize the risk of aspiration during the treatment, as ECT is performed under anesthesia.
C. Incontinence is not a typical concern with ECT. The procedure itself does not usually result in incontinence. The focus should be more on preparing for potential side effects like temporary confusion
or memory issues, rather than concerns about incontinence. Therefore, this advice is not relevant for ECT preparation.
D. ECT involves the use of anesthesia, and patients should not drive themselves to or from the appointment due to the effects of anesthesia and the potential for temporary disorientation. Arranging for transportation ensures the patient’s safety and compliance with post-treatment care instructions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prozac is sometimes used to treat certain anxiety disorders, such as obsessive-compulsive disorder (OCD) and panic disorder, its primary indication is not for anxiety.
B. Prozac is not used to treat schizophrenia. Schizophrenia is a complex mental disorder that is usually managed with antipsychotic medications. Prozac, as an SSRI, does not address the primary symptoms of schizophrenia, such as delusions and hallucinations.
C. Prozac is primarily prescribed for the treatment of major depressive disorder (MDD). It is one of the most commonly used SSRIs for managing depression. The medication works by increasing levels of serotonin in the brain, which can help improve mood and alleviate symptoms of depression.
D. Prozac is not typically used as the primary treatment for bipolar disorder. While it may be used in combination with mood stabilizers for managing depressive episodes in bipolar disorder, it is not used alone due to the risk of potentially triggering manic episodes.
Correct Answer is B
Explanation
A. This is a temporary solution and doesn't address the underlying issue of workload.
B. This is a healthy coping mechanism as it involves effective time management and prioritization. Delegating tasks that can be safely performed by others allows the nurse to focus on more complex patient care needs.
C. This can be helpful but doesn't necessarily reduce the overall workload.
D. While this might provide temporary relief, it's not a sustainable solution and can create resentment among colleagues.
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