A client is scheduled for electroconvulsive therapy (ECT). The nurse teaches that the client:

May experience short-term memory loss as a side effect of the treatment

Should take atropine after the procedure

Family can be in attendance throughout the procedure

Will be awake during the procedure

Answer and Explanation

The Correct Answer is A

Choice A reason: ECT induces controlled seizures to treat severe depression, often causing short-term memory loss due to temporary disruption of hippocampal function. This is a common side effect, and clients should be informed to expect potential memory difficulties post-treatment.

Choice B reason: Atropine is used pre-ECT to reduce secretions, not post-procedure. Administering it afterward is unnecessary, as its role is to prevent airway complications during the procedure, making this an incorrect teaching point for ECT.

Choice C reason: Family attendance during ECT is not permitted due to the controlled medical environment, anesthesia, and seizure induction, which require privacy and safety protocols. This instruction is incorrect, as only medical personnel are present during the procedure.

Choice D reason: ECT is performed under general anesthesia, so the client is unconscious, not awake, during the procedure. Being awake would prevent safe seizure induction and monitoring, making this an incorrect and unsafe teaching point.

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Correct Answer is D

Explanation

Choice A reason: Admitting fear of weight gain or behaviors interfering with weight gain shows psychological insight, which is important in anorexia nervosa treatment. However, as a short-term outcome, it is less critical than addressing immediate nutritional deficiencies to prevent organ damage and stabilize physical health.

Choice B reason: Accepting personal value and worth addresses the psychological aspects of anorexia nervosa, such as low self-esteem. While important for long-term recovery, it is not a short-term priority, as it does not directly address the immediate physical risks of malnutrition and weight loss.

Choice C reason: Identifying alternative coping strategies helps address emotional triggers for anorexia nervosa, supporting long-term recovery. However, in the short term, the priority is to restore nutritional status and prevent complications like cardiac failure, making this outcome less urgent than dietary adherence.

Choice D reason: Following a nutritionally balanced diet is critical in the short term for clients with anorexia nervosa to reverse malnutrition, restore weight, and prevent life-threatening complications like electrolyte imbalances or organ failure. This directly addresses the immediate physiological needs, making it the most appropriate short-term outcome.

A. Observe the client for signs of toxicity B. Document the laboratory results in the medical record C. Notify the client’s physician immediately D. Hold the next dose of lithium

Correct Answer is C

Explanation

Choice A reason: Observing for toxicity is important, but a lithium level of 1.8 mEq/L, above the therapeutic range (0.6–1.5 mEq/L), requires immediate action. Observation alone delays critical intervention, as symptoms like confusion or ataxia may already be present, necessitating urgent medical evaluation.

Choice B reason: Documenting results is necessary but not the first action. A lithium level of 1.8 mEq/L indicates potential toxicity, requiring immediate physician notification to adjust dosing or provide treatment, as delays could worsen neurological or renal complications.

Choice C reason: A lithium level of 1.8 mEq/L is above the therapeutic range, indicating early toxicity, which can cause neurological and renal damage. Notifying the physician immediately ensures prompt dose adjustment or discontinuation, preventing progression to severe toxicity, making this the priority action.

Choice D reason: Holding the next dose without physician guidance is risky, as abrupt cessation may destabilize mood in bipolar disorder. A level of 1.8 mEq/L requires medical evaluation to determine safe dose adjustments, making physician notification the first step.

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A client is scheduled for electroconvulsive therapy (ECT). The nurse teaches that the client:

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Naxlex Comprehensive Predictor Exams

A client with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

Correct Answer is D

Explanation

The client’s lithium level is 1.8 mEq/L. The first appropriate nursing action is to:

Correct Answer is C

Explanation

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