A client with depression is receiving electroconvulsive therapy ...

[azncindy619]

A client with depression is receiving electroconvulsive therapy (ECT). Which interventions should the nurse plan when caring for this client?
 
  Select all that apply.
  A) Maintain nothing-by-mouth status until fully awake.
  B) Administer intravenous fluids for 8 hours post procedure.
  C) Place in the lateral recumbent position.
  D) Provide oral fluids immediately after the procedure.
  E) Place in the supine position with the head flat.

Question 2

A nurse in a busy outpatient pediatric clinic notes that a preschool-aged child who was due to be seen is a no-show. The child is not up to date on vaccinations. Which action by the nurse is appropriate?
 
  A) Call the parents and encourage them to bring the child for recommended care.
  B) Speak firmly with the parents about the importance of being compliant.
  C) Notify the healthcare provider that the child's immunizations are no longer up to date.
  D) Plan to discuss the principles of health supervision at the next scheduled visit.

[pami445]

Answer to Question 1

Answer: A, C

Care of the client recovering from electroconvulsive therapy includes placing in the lateral recumbent position to facilitate drainage and to prevent aspiration and to maintain nothing by mouth until fully awake. The supine with head flat position can lead to aspiration. The client does not need intravenous fluids for 8 hours after the procedure. Providing oral fluids when not fully awake can lead to aspiration.

Answer to Question 2

Answer: A

The nurse in the pediatric healthcare setting is responsible for reviewing the health supervision of the child. Partnering with the parents and encouraging the parents to follow health-supervision guidelines are the best strategies to use. Speaking firmly with the parents about compliance will alienate the parents at this time. A discussion of the principles of health supervision without an intervention at this visit would mean a delay in needed health care for the child in this example. Discussing with the healthcare provider that the immunizations are not up to date is not necessary in an outpatient clinic. Immunizations are given per schedule.