Author Question: A client experienced bradycardia during electroconvulsive therapy (ECT). A nurse assigns a nursing ... (Read 51 times)

wenmo · **on:** Jul 19, 2018

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.

Question 2

A client who is learning about electroconvulsive therapy (ECT) asks a nurse, Isn't 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.

rnehls · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Vagal stimulation induced by ECT may cause a client to experience bradycardia. Adequate tissue perfusion would be a realistic expectation when normal cardiac output is restored.

Answer to Question 2

C
Clients are given medical clearance for ECT. This decreases the risk of injury from the treatment.