Which therapeutic nursing intervention would a nurse initiate ...

[aabwk4]

Which therapeutic nursing intervention would a nurse initiate just before ECT (electroconvulsive therapy) treatment?
 
  a. Providing the patient the opportunity to void in order to prevent incontinence
  b. Insertion of a straight urinary catheter to ensure the patient has an empty bladder
  c. Administration of diazepam (Valium) to minimize the presence of muscle spasms
  d. Administration of thiopental sodium (Pentothal) to help induce muscle relaxation

Question 2

To plan and budget for preventive services, a nurse in charge of a community mental health center has reviewed the records to discern how many families received services in the current year.
 
  To estimate the need for the coming year, the nurse should: a. increase the allocation, because most eligible families are underserved.
  b. decrease the allocation, because most eligible families are overserved.
  c. interview the families currently being supported to determine valid needs.
  d. ask for a consultant to ascertain community interest in preventive services.

[Amiracle]

Answer to Question 1

A
Immediately before the patient receives ECT treatment, the nurse instructs the patient to void. This prevents incontinence during the treatment, minimizes the potential for bladder distention, and prevents damage during the procedure. Catheterization is not necessary since fluids have been restricted. Pre-procedure medications will be administered once the client has been transported to the procedure area.

Answer to Question 2

A
Many families who are eligible for preventive services do not avail themselves of these services. As families become more aware of services, budgets will need to be increased.