After today's ECT treatment, a client has emerged from anesthesia ...

[meagbuch]

After today's ECT treatment, a client has emerged from anesthesia agitated, confused, and incoherent. Which of the following interventions should the nurse anticipate?
 
  A) Placing the client in seclusion until the client's behavior normalizes
  B) Close monitoring and administration of an intravenous benzodiazepine
  C) Application of physical restraints and sublingual lorazepam (Ativan) administration
  D) Administration of an anesthetic and a repeat ECT treatment

Question 2

Which of the following conditions is associated with an increased risk of complications during ECT?
 
  A) Aortic aneurysm
  B) Hypertension
  C) Tuberculosis
  D) Recent fracture

[jaygar71]

Answer to Question 1

Ans: B
Postictal agitation may require intravenous diazepam (Valium) to stabilize the symptoms. Seclusion would be unsafe, and restraints would be a measure of last resort. The ECT treatment would not be repeated.

Answer to Question 2

Ans: B
Hypertension is a condition associated with increased risk during ECT. Special considerations are given to clients with aortic aneurysm, tuberculosis, and recent fractures.