Ch 19 Electroconvulsive Therapy EXAM WITH PERFECT ANSWERS GRADED A
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Ch 19 Electroconvulsive Therapy
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Ch 19 Electroconvulsive Therapy
1. A nurse administers pure oxygen to a client during and after electroconvulsive therapy (ECT). Which statement describes the rationale for this procedure?
1. To prevent increased intracranial pressure resulting from anoxia
2. To prevent hypotension, bradycardia, and bradypnea due to electrica...
Ch 19 Electroconvulsive Therapy
1. A nurse administers pure oxygen to a client during and after electroconvulsive
therapy (ECT). Which statement describes the rationale for this procedure?
1. To prevent increased intracranial pressure resulting from anoxia
2. To prevent hypotension, bradycardia, and bradypnea due to electrical stimulation
3. To prevent anoxia due to medication-induced paralysis of respiratory muscles
4. To prevent blocked airway resulting from seizure activity correct answers 3. This is
correct. The nurse administers 100% oxygen during and after ECT to prevent anoxia
due to medication-induced paralysis of respiratory muscles.
2. In which position would the nurse place the client immediately after electroconvulsive
therapy (ECT)?
1. On his or her side to prevent aspiration
2. In semi-Fowler's position to promote oxygenation
3. In Trendelenburg's position to promote blood flow to vital organs
4. In prone position to prevent airway blockage correct answers 1. This is correct. After
the ECT procedure, the client should be positioned on his or her side to prevent
aspiration.
3. Which student statement indicates that learning has occurred regarding
electroconvulsive therapy (ECT)?
1. "During ECT, a state of euphoria is induced."
2. "ECT induces a grand mal seizure."
3. "During ECT, a state of catatonia is induced."
4. "ECT induces a petit mal seizure." correct answers 2. This is correct. ECT is the
induction of a grand mal seizure through the application of electrical current to the brain
to decrease depression.
4. For which client would the nurse question the use of electroconvulsive therapy
(ECT)?
1. A client with schizophrenia and hypertension
2. A client with mania and seasonal allergies
3. A client with obsessive-compulsive disorder (OCD) and a history of cancer
4. A client with major depressive disorder (MDD) who feels sad correct answers 1. This
is correct. ECT is contraindicated in clients with untreated hypertension or heart
disease.
5. After undergoing two of nine electroconvulsive (ECT) procedures, a client states, "I
can't even remember eating breakfast, so I want to stop the ECT." Which reply by the
nurse is appropriate?
1. "After you begin the course of treatments, you must complete all of them."
2. "You'll need to talk with your doctor about what you're thinking."
, 3. "It is within your right to discontinue the treatments, but let's talk about your
concerns."
4. "Memory loss is a rare side effect of the treatment. I don't think it should be a
concern." correct answers 3. This is correct. ECT is voluntary, and client consent may
be withdrawn at any time. This reply acknowledges this right and focuses on the client's
concerns so the nurse can address them.
6. Immediately after an initial electroconvulsive (ECT) procedure, a client states, "I'm not
hungry and just want to stay in bed and sleep." Based on this information, which nursing
intervention is appropriate?
1. Allow the client to remain in bed.
2. Encourage the client to join the milieu to promote socialization.
3. Obtain a physician's order for parenteral nutrition.
4. Involve the client in physical activities to stimulate circulation. correct answers 1. This
is correct. Immediately after ECT, the nurse should monitor pulse, respirations, and
blood pressure every 15 minutes for the first hour, during which time the client should
remain in bed.
7. A nurse administers ordered preoperative glycopyrrolate 30 minutes prior to a client's
electroconvulsive (ECT) procedure. Which statement describes the rationale for
administering this medication?
1. Glycopyrrolate decreases anxiety during the ECT procedure.
2. Glycopyrrolate induces an unconscious state to prevent pain during the ECT
procedure.
3. Glycopyrrolate prevents severe muscle contractions during the ECT procedure.
4. Glycopyrrolate decreases secretions to prevent aspiration during the ECT procedure.
correct answers 4. This is correct. Glycopyrrolate is given to decrease secretions and
counteract the effects of vagal stimulation (bradycardia) induced by ECT.
8. Which statement by the student indicates a need for further teaching regarding client
preparation for electroconvulsive therapy (ECT)?
1. "I will ensure my client has voided before the procedure."
2. "My client's spouse is holding his wedding band while he is having ECT."
3. "I told my client it is okay for him to wear his contact lenses during the procedure so
he does not lose them."
4. "My client has removed her dentures and placed them in a denture cup with her
name on it. correct answers 3. This is correct. Teaching was ineffective because the
student told the client they could wear their contact lenses during the procedure. The
client must remove eyeglasses and contact lenses for ECT.
9. A client scheduled for ECT at 9:00 a.m. is discovered eating breakfast at 8:00 a.m.
Based on this observation, which action would the nurse take?
1. Notify the client's physician of the situation and cancel the ECT.
2. Remove the breakfast tray and assist the client to the ECT procedure room.
3. Allow the client to finish breakfast and reschedule ECT for 10:00 a.m.
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