A nurse is preparing a client for treatment with repetitive ...

[Bernana]

A nurse is preparing a client for treatment with repetitive transcranial magnetic stimulation. When educating the client about this procedure, which of the following would the nurse include? Select all that apply.
 
  A) You will receive a short-acting anesthetic to relax you.
  B) You will be awake and alert during the procedure.
  C) You can resume your normal activities right after the treatment.
  D) We will need to shave your scalp at the area where the magnet is placed.
  E) You might feel a moderate amount of stinging at the site.

Question 2

A nurse is developing an education plan for a client who is prescribed escitalopram. Which of the following side effects would the nurse include in this plan? Select all that apply.
 
  A) Weight gain
  B) Decreased sexual interest
  C) Sedation
  D) Blurred vision
  E) Urinary retention
  F) Dry mouth

[k.lashomb]

Answer to Question 1

Ans: B, C
With this procedure, the client is awake, reclining in a special chair, and can resume normal activities immediately after the procedure. Because anesthesia is not required, there are no risks associated with sedation. The pulses, similar in type and strength to a magnetic resonance imaging machine, easily pass through the hair, skin, and skull, requiring much less electricity than electroconvulsive therapy. Thus shaving the scalp is unnecessary, and it is highly unlikely that the client would experience stinging at the site.

Answer to Question 2

Ans: A, B
Escitalopram is a selective serotonin reuptake inhibitor. Common side effects include weight gain, diminished sexual interest and performance, headaches, gastrointestinal symptoms, insomnia, and agitation. Sedation, blurred vision, urinary retention, and dry mouth are more commonly associated with tricyclic antidepressants.