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ATI RN Mental Health 2019 NGN
ATI RN Mental Health 2019 NGN ( 63 Questions)
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
- Check the client’s condition after the procedure. This is a task that the nurse should perform because it requires direct observation and assessment of the client’s response to electroconvulsive therapy (ECT).The nurse should also monitor for any adverse effects such as nausea, headache, muscle soreness, or memory loss2.
This is a task that the nurse can delegate to an assistive personnel (AP) because it is within the scope of practice of an AP and it does not require direct supervision by the nurse.Ambulating a client who is postoperative can help prevent complications such as deep vein thrombosis, pneumonia, and pressure ulcers1.
- Witness the client’s signature on the consent for the procedure. This is a task that the nurse should perform because it involves obtaining informed consent from the client or their legal representative.The nurse should explain the purpose, benefits, risks, and alternatives of ECT to the client and answer any questions they may have3.
- Give the client atropine 30 min before the procedure. This is a task thatthe nurse should not delegateto an AP because it requires direct administration of medication and monitoring of vital signs.Atropine is used as an antiarrhythmic agent to prevent cardiac arrest during ECT4.
Answer is: Assist the client to ambulate for the first time following the procedure.
Explanation: This is a task that the nurse can delegate to an assistive personnel (AP) because it is within the scope of practice of an AP and it does not require direct supervision by the nurse. Ambulating a client who is postoperative can help prevent complications such as deep vein thrombosis, pneumonia, and pressure ulcers1.
Statement is wrong because:
- Check the client’s condition after the procedure. This is a task that the nurse should perform because it requires direct observation and assessment of the client’s response to electroconvulsive therapy (ECT). The nurse should also monitor for any adverse effects such as nausea, headache, muscle soreness, or memory loss2.
- Witness the client’s signature on the consent for the procedure. This is a task that the nurse should perform because it involves obtaining informed consent from the client or their legal representative. The nurse should explain the purpose, benefits, risks, and alternatives of ECT to the client and answer any questions they may have3.
- Give the client atropine 30 min before the procedure. This is a task that the nurse should not delegate to an AP because it requires direct administration of medication and monitoring of vital signs. Atropine is used as an antiarrhythmic agent to prevent cardiac arrest during ECT4.