Author Question: A charge nurse in an extended-care facility (ECF) is to evaluate a staff member while on shift. ... (Read 84 times)

viki · **on:** Jul 16, 2018

A charge nurse in an extended-care facility (ECF) is to evaluate a staff member while on
shift. What aspect of the evaluation is most important for improving performance in the
future?

A) Inform the staff member of the evaluation process
B) Observe the staff member providing care for a particular client
C) Note the positive aspects of the staff member's work
D) Hold debriefing sessions with the member after observations

Question 2

A nurse is caring for a client admitted to the healthcare facility with a history of severe depression. The healthcare provider has ordered electroconvulsive therapy (ECT), because the client did not respond to antidepressant medications.

What precautions should the nurse take when caring for this client? A) Assist the client to take an antiseizure medication before ECT.
B) Ask the client to be awake for at least 2 hours after the procedure.
C) Instruct the client not to chew gum before the ECT procedure.
D) Tell the client to restrict fluids after the ECT procedure.

katkat_flores · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

D

Answer to Question 2

C
Feedback:
When caring for a client for whom electroconvulsive therapy is ordered, the nurse should instruct the client not to chew gum before the ECT procedure. Antiseizure medications are not to be given before ECT. These medications are withheld beginning approximately 6 PM the evening before ECT. The nurse should allow the client to sleep after ECT because most clients are tired after ECT and sleeping can help prevent after-ECT complaints, such as headache. The nurse should encourage the client to drink large amounts of fluids because clients often complain of a dry mouth after ECT.