A nurse administers ordered preoperative glycopyrrolate (Robinul) ...

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A nurse administers ordered preoperative glycopyrrolate (Robinul) 30 minutes prior to a client's electroconvulsive therapy (ECT) procedure. What is the rationale for administering this medication?
 
  A. Robinul decreases anxiety during the ECT procedure.
  B. Robinul induces an unconscious state to prevent pain during the ECT procedure.
  C. Robinul prevents severe muscle contractions during the ECT procedure.
  D. Robinul decreases secretions to prevent aspiration during the ECT procedure.

Question 2

Immediately after an initial electroconvulsive therapy (ECT) procedure, a client states, I'm not hungry and just want to stay in bed and sleep. On the basis of this information, which is the most appropriate nursing intervention?
 
  A. Allow the client to remain in bed.
  B. Encourage the client to join the milieu to promote socialization.
  C. Obtain a physician's order for parenteral nutrition.
  D. Involve the client in physical activities to stimulate circulation.

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Answer to Question 1

D
Glycopyrrolate (Robinul) is the standard preoperative medication given prior to ECT procedures to decrease secretions and prevent aspiration.

Answer to Question 2

A
Immediately after electroconvulsive therapy a nurse should monitor pulse, respirations, and blood pressure every 15 minutes for the first hour, during which time the client should remain in bed.