A nurse is assessing a client who is scheduled for electroconvulsive therapy. Which of the following client health conditions should the nurse report to the provider?
Rheumatoid arthritis
Kidney failure
Congestive heart failure
Diabetes
The Correct Answer is C
Choice A reason: Rheumatoid arthritis is not a contraindication for ECT unless it involves cervical spine instability. It should be assessed but is not an immediate concern.
Choice B reason: Kidney failure requires monitoring of fluid and electrolyte balance but is not a direct contraindication to ECT.
Choice C reason: Congestive heart failure poses a significant risk due to the hemodynamic changes induced by ECT, including sympathetic stimulation and increased cardiac workload. This must be reported and evaluated.
Choice D reason: Diabetes requires glucose monitoring but does not contraindicate ECT unless there are associated cardiovascular complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Clients should not drive or operate machinery after receiving olanzapine pamoate due to the risk of post-injection syndrome and sedation.
Choice B reason: Monitoring for sedation is essential after administration due to the risk of post-injection syndrome, which can mimic olanzapine overdose symptoms.
Choice C reason: Excessive salivation is not a common side effect of olanzapine pamoate; sedation and delirium are more relevant concerns.
Choice D reason: Olanzapine pamoate should be administered via deep IM injection in the ventrogluteal site, not the deltoid, to reduce the risk of vascular entry and post-injection syndrome.
Correct Answer is C
Explanation
Choice A reason: While clients have the right to avoid unnecessary treatment, this option is vague and does not directly address medication refusal.
Choice B reason: Informed consent involves understanding risks and benefits, but the act of refusal is better captured by the right to decline treatment.
Choice C reason: Clients have the legal and ethical right to refuse medication unless they are deemed incompetent or under involuntary treatment. This is the most accurate and specific answer.
Choice D reason: Legal review of care plans is not a standard right in routine care and is not relevant to medication refusal.
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