A nurse is assisting in the preprocedure care of a patient ...

[stephzh]

A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconvulsive therapy). Which nursing action must be taken immediately before the procedure?
 
  a. The electrode sites are shaved and cleaned with a soap and water.
  b. A blood pressure cuff and the oxygen saturation probe are applied.
  c. A 12-lead electrocardiogram (ECG) is run and the strip placed in the chart.
  d. The patient signs an informed consent form allowing for the treatment.

Question 2

When using symbolic interactionism, which question should a nurse use to best gain an understanding of the experiences of the family of a patient with schizophrenia?
 
  a. What situations create stress in your family at this time?
  b. What are the transportation costs of traveling to and from therapy sessions?
  c. Is there always enough money to pay the family bills and pay for therapy?
  d. Have things become better at home since your family member was discharged last time?

[jasonq]

Answer to Question 1

B
The nurse applies equipment necessary for patient monitoring, including blood pressure cuff and oxygen saturation probe. Mild soap is used to cleanse the areas designated for electrode placement, but shaving the areas and shampooing the hair are not required. Results of a 12-lead ECG, which should be performed well before the patient gets to the treatment area, should have been reviewed to determine risks associated with anesthesia. The consent form should be signed earlier, and there is no need to sign another consent form at this time.

Answer to Question 2

A
Symbolic interactionism suggests that the nurse learn to walk in the shoes of family members by asking questions that elicit a description of their situation. The correct option is such a question. While inquiring about the situation at home since the patient's discharge is partially correct because it seeks to elicit the family's view, it is a closed-ended question and is narrower in scope. The remaining options are inappropriate because they are factual and do not increase understanding of the lived experience of family members.

[stephzh]

Thank you

[jasonq]

Happy to help you