A novice nurse who will be assessing a patient after ...

[SAVANNAHHOOPER23]

A novice nurse who will be assessing a patient after electroconvulsive therapy (ECT) asks her mentor, What sort of memory impairment is present after several ECT treatments? The best response for the mentor would be:
 
  a. It's hard to say. Treatment affects everyone differently.
  b. Usually the patient has severe difficulty remembering remote events.
  c. Patients have mild difficulty remembering recent events, like what was eaten for breakfast.
  d. Both recent and remote memory is affected, producing profound confused, cog-nitive states.

Question 2

About an hour after the patient has ECT, he complains of having a headache. The nurse should:
 
  a. Notify the physician stat.
  b. Administer an as needed (prn) dose of acetaminophen.
  c. Take the patient through a progressive relaxation sequence.
  d. Advise going to activities to expend energy and relieve tension.

[ryrychapman11]

Answer to Question 1

ANS: C
Most patients experience transient recent memory impairment after electroconvulsive therapy (ECT). The cognitive deficit becomes more pronounced as the number of treatments increas-es. When the course of treatments is completed, cognitive deficit generally improves to the pretreatment level. The other options are incorrect.

Answer to Question 2

ANS: B
Post-ECT headache is common. Most physicians routinely write an as needed (prn) order for a headache remedy. Notifying the physician is unnecessary, because this is an expected side effect. Options c and d would not be as useful as medication in this instance.

[SAVANNAHHOOPER23]

Excellent

[ghepp]

TYSM