A client states, My doctor has told me I am a candidate for ...

[xroflmao]

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.

Question 2

A nursing student is observing an electroconvulsive therapy (ECT) procedure. The student notices a blood pressure cuff on the client's 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.

[allisonblackmore]

Answer to Question 1

B
Most clients require an average of 6 to 12 ECT procedures, but some may require up to 20 procedures. Treatments are usually administered every other day, three times per week. Treatments are performed on either an inpatient or outpatient basis, depending on the need for client monitoring.

Answer to Question 2

B
A blood pressure cuff is placed on the lower leg and inflated above systolic pressure before injection of succinylcholine. This is to ensure that seizure activity can be observed and timed in this one limb that is unaffected by the paralytic agent.