For which client is the nurse most likely to need to schedule a ...

[jessicacav]

For which client is the nurse most likely to need to schedule a pre-ECT workup and teaching?
 
  1. Client A, who is newly diagnosed with dysthymic disorder
  2. Client B, who has melancholic depression that responded well to ECT 2 years ago
  3. Client C, who was unresponsive to a 6-week trial of SSRI antidepressant
  4. Client D, who has depression associated with diagnosis of inoperable brain tumor

Question 2

Which nursing intervention will the nurse anticipate taking in the first half hour after the client has received ECT?
 
  1. Continually stimulate client to respond, using physical and verbal means.
  2. Continue bagging client to improve respiratory function until client is responsive for 10 minutes.
  3. Reorient as necessary to time, place, and person as client level of consciousness improves.
  4. Encourage walking and eating breakfast as quickly as possible.

[jazzlynnnnn]

Answer to Question 1

ANS: 2
Indications for ECT include clients with major mood disorders, clients who have responded to ECT in the past, clients who are unresponsive to antidepressants or unable to tolerate their side effects and clients who are acutely suicidal or in danger of fluid and electrolyte imbalance related to inability to eat due to depression, severe mania, or severe catatonia. 1. Clients with dysthymia are not candidates for ECT. 3. This client has not run out of medication options. 4. Clients with space-occupying lesions of the brain are not candidates for ECT.

Answer to Question 2

ANS: 3
Client memory is likely to be impaired in the immediate post-ECT period. Reorientation will be necessary to help the individual return to a functional state. 1. Continual stimulation is not nec-essary. 2. This is unnecessary. 4. The client may be allowed to rest and recover at his own pace.