A new nurse who will be assessing a client who is receiving ECT ...

[lindiwe]

A new nurse who will be assessing a client who is receiving ECT asks her mentor, What sort of memory impairment is present after several ECT treatments? The best response for the mentor would be:
 
  1. It's hard to say. Treatment affects everyone differently.
  2. Usually the client has severe difficulty remembering remote events.
  3. Clients have mild difficulty remembering recent events like what was eaten for breakfast.
  4. Both recent and remote memory is affected, producing profound confusional states.

Question 2

About an hour after the client has ECT, he complains of having a headache. The nurse should:
 
  1. Notify the physician stat
  2. Administer a prn dose of acetaminophen
  3. Take the client through a progressive relaxation sequence
  4. Advise going to activities to expend energy and relieve tension

[CAPTAINAMERICA]

Answer to Question 1

ANS: 3
Most clients experience transient recent memory impairment after ECT. The cognitive deficit be-comes more pronounced as the number of treatments increases. When the course of treatments is completed, cognitive deficit generally improves to the pretreatment level. The other options are incorrect.

Answer to Question 2

ANS: 2
Post-ECT headache is common. Most physicians routinely write a prn order for a headache rem-edy. Option 1 is unnecessary, since this is an expected side effect. Options 3 and 4 would not be as useful as medication in this instance.

[lindiwe]

Thanks for the timely response, appreciate it

[Zebsrer]

TYSM