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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.44"]
Explanation
Step 1: Calculate the total units to be given per hour: 18 × 90 = 1620 units/hour Result = 1620 units/hour
Step 2: Determine the concentration of Heparin in 1 mL: 25000 ÷ 250 = 100 units/mL Result = 100 units/mL
Step 3: Calculate the required volume in mL/hr using total units per hour: (1620 ÷ 100) = 16.2 mL/hr Result = 16.2 mL/hr
Final answer 16.2 mL/hr
Question 47
Calculate the initial bolus of Heparin. Heparin is ordered as 80 units/kg. The client weighs 90 kg. How many mL would you administer using a vial of Heparin labeled Heparin 5000 units/mL?
The correct answer is 1.44 mL
Explanation:
Step 1: Calculate the total number of units required for the bolus: 80 × 90 = 7200 units Result = 7200 units
Step 2: Use the vial concentration to find out how many mL deliver 7200 units: (7200 ÷ 5000) = 1.44 mL Result = 1.44 mL
Final answer 1.44 mL
Correct Answer is A
Explanation
Choice A reason: Phenelzine, an MAOI, inhibits monoamine oxidase, leading to tyramine accumulation. Tyramine-rich foods like blue cheese, red wine, and raisins can cause hypertensive crises by triggering norepinephrine release, leading to dangerous blood pressure spikes, making this the correct dietary restriction advice.
Choice B reason: Milk, peanuts, and tomatoes are not high in tyramine and do not interact significantly with phenelzine. These foods are generally safe for clients on MAOIs, as they do not trigger the hypertensive crises associated with tyramine-rich foods, making this incorrect.
Choice C reason: Shellfish, grapefruit, and egg yolks are not tyramine-rich and do not pose a significant risk with phenelzine. Grapefruit affects cytochrome P450 enzymes, not MAOIs, and shellfish and egg yolks are safe, making this an incorrect dietary restriction.
Choice D reason: Juice, pears, and black beans are low in tyramine and safe for clients taking phenelzine. They do not cause the hypertensive crises associated with MAOI-related ty/annine interactions, making this an incorrect choice for foods to avoid.
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