1. A nurse administers pure oxygen to a client during and after electroconvulsive therapy. What is the nurses
rationale for this procedure?
A. To prevent increased intracranial pressure resulting from anoxia
B. To prevent hypotension, bradycardia, and bradypnea due to electrical stimulation
C. ...
Chapter 20, 25, 26
1. A nurse administers pure oxygen to a client during and after electroconvulsive
therapy. What is the nurses
rationale for this procedure?
A. To prevent increased intracranial pressure resulting from anoxia
B. To prevent hypotension, bradycardia, and bradypnea due to electrical stimulation
C. To prevent anoxia due to medication-induced paralysis of respiratory muscles
D. To prevent blocked airway resulting from seizure activity correct answers C
2. Immediately after electroconvulsive therapy, in which position should a nurse place
the client?
A. On his or her side to prevent aspiration
B. In semi-Fowlers position to promote oxygenation
C. In Trendelenburgs position to promote blood flow to vital organs
D. In prone position to prevent airway blockage correct answers A
3. A nursing instructor is teaching about electroconvulsive therapy (ECT). Which student
statement indicates
that learning has occurred?
A. During ECT a state of euphoria is induced.
B. ECT induces a grand mal seizure.
C. During ECT a state of catatonia is induced.
D. ECT induces a petit mal seizure. correct answers B
4. A chronically depressed and suicidal client is admitted to a psychiatric unit. The client
is scheduled for
electroconvulsive therapy (ECT). During the course of ECT, a nurse should recognize
the continued need for
which critical intervention?
A. Suicide assessment must continue throughout the ECT course.
B. Antidepressant medications are contraindicated throughout the ECT course.
C. Discourage expressions of hopelessness throughout the ECT course.
D. Encourage a high-caloric diet throughout the ECT course. correct answers A
5. After undergoing two of nine electroconvulsive therapy (ECT) procedures, a client
states, I cant even
remember eating breakfast, so I want to stop the ECT. Which is the most appropriate
nursing reply?
A. After you begin the course of treatments, you must complete all of them.
B. Youll need to talk with your doctor about what youre thinking.
C. It is within your right to discontinue the treatments, but lets talk about your concerns.
D. Memory loss is a rare side effect of the treatment. I dont think it should be a concern
correct answers C
,6. Immediately after an initial electroconvulsive therapy (ECT) procedure, a client states,
Im not hungry and
just want to stay in bed and sleep. On the basis of this information, which is the most
appropriate nursing
intervention?
A. Allow the client to remain in bed.
B. Encourage the client to join the milieu to promote socialization.
C. Obtain a physicians order for parenteral nutrition.
D. Involve the client in physical activities to stimulate circulation. correct answers A
7. A nurse administers ordered preoperative glycopyrrolate (Robinul) 30 minutes prior to
a clientselectroconvulsive therapy (ECT) procedure. What is the rationale for
administering this medication?
A. Robinul decreases anxiety during the ECT procedure.
B. Robinul induces an unconscious state to prevent pain during the ECT procedure.
C. Robinul prevents severe muscle contractions during the ECT procedure.
D. Robinul decreases secretions to prevent aspiration during the ECT procedure
correct answers D
8. A nursing instructor is teaching about the medications given prior to and during
electroconvulsive therapy
(ECT). Which student statement indicates that learning has occurred?
A. Atropine (Atro-Pen) is administered to paralyze skeletal muscles during ECT.
B. Succinylcholine chloride (Anectine) decreases secretions to prevent aspiration.
C. Thiopental sodium (Pentothal) is a short-acting anesthesia to render the client
unconscious.
D. Glycopyrrolate (Robinul) is given to prevent severe muscle contractions during
seizure. correct answers C
9. A client scheduled for electroconvulsive therapy (ECT) at 9:00 a.m. is discovered
eating breakfast at 8:00
a.m. On the basis of this observation, which is the most appropriate nursing action?
A. The nurse notifies the clients physician of the situation and cancels the ECT.
B. The nurse removes the breakfast tray and assists the client to the ECT procedure
room.
C. The nurse allows the client to finish breakfast and reschedules ECT for 10:00 a.m.
D. The nurse increases the clients fluid intake to facilitate the digestive process. correct
answers A
10. A client who is learning about electroconvulsive therapy (ECT) asks a nurse, Isnt
this treatment dangerous?
Which is the most appropriate nursing reply?
A. No, this treatment is side-effect free.
B. There can be temporary paralysis, but full functioning returns within 3 hours of
treatment.
, C. There are some risks, but a thorough examination will determine your candidacy for
ECT.
D. Transient ischemic attacks (TIAs) can occur but are rare. correct answers C
11. A client experienced bradycardia during electroconvulsive therapy (ECT). A nurse
assigns a nursing
diagnosis of decreased cardiac output R/T vagal stimulation occurring during ECT.
Which outcome would the
nurse expect the client to achieve?
A. The client will verbalize an understanding of the need for moving slowly after
treatment.
B. The client will maintain an oxygen saturation level of 88% 1 hour after treatment.
C. The client will continue adequate tissue perfusion 1 hour after treatment.
D. The client will verbalize an understanding of common side effects of ECT. correct
answers C
12. A nursing student is observing an electroconvulsive therapy (ECT) procedure. The
student notices a blood
pressure cuff on the clients lower leg. The student questions the instructor about the
cuff placement. Which is
the most accurate instructor reply?
A. The cuff has to be placed on the leg because both arms are used for intravenous
fluids.
B. The cuff functions to prevent succinylcholine from reaching the foot.
C. The cuff position gives a more accurate blood pressure reading during the treatment.
D. The cuff is placed on the leg so that arms can easily be restrained during seizure
correct answers B
13. A client states, My doctor has told me I am a candidate for electroconvulsive therapy
(ECT). Where will
the treatment take place, and how much time would this entail? Which is the most
accurate nursing reply?
A. Clients typically receive ECT in their hospital room, daily for 1 month.
B. Clients typically undergo 6 to 12 ECT procedures, three times a week in an
outpatient setting.
C. Clients typically receive an unlimited number of treatments, in the hospital procedure
room.
D. Clients typically receive two to three treatments, in either an outpatient or inpatient
setting. correct answers B
14. A client is scheduled for an initial electroconvulsive therapy (ECT) procedure. Which
information should a
nurse include when teaching about the potential side effects of this procedure?
A. You may experience transient tangential thinking.
B. You may experience some memory deficit surrounding the ECT.
C. You may experience avolution for the remainder of the day.
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