A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?
Aspiration
Decreased heart rate
Elevated blood pressure
Muscle distress
The Correct Answer is D
A. Aspiration: Succinylcholine is used during electroconvulsive therapy (ECT) to induce muscle relaxation, but it does not specifically prevent aspiration. Aspiration risk is generally minimized by using an endotracheal tube and appropriate airway management during the procedure, not just succinylcholine.
B. Decreased heart rate: Succinylcholine is not used to manage heart rate. While ECT can cause heart rate fluctuations, other medications, like atropine, are typically used if bradycardia is a concern.
C. Elevated blood pressure: Succinylcholine does not address blood pressure regulation. ECT can cause temporary increases in blood pressure, but succinylcholine is used to relax muscles and does not manage blood pressure.
D. Muscle distress: Succinylcholine is given during ECT to relax muscles and prevent muscle contractions or "muscle distress" during the procedure. Without muscle relaxation, muscle contractions during the procedure could cause injury or severe discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Blames others for own mistakes: While feelings of guilt or self-blame can occur in PTSD, the focus is usually on the trauma and its effects, not a general tendency to blame others for personal mistakes.
B. Talks excessively: Excessive talking is not a specific symptom of PTSD. Clients with PTSD may have difficulty expressing their feelings or may avoid conversations that bring up traumatic memories.
C. Has difficulty concentrating on set tasks: Difficulty concentrating is a common symptom of PTSD, often due to intrusive thoughts or hypervigilance. The client may find it hard to focus on tasks due to the constant state of alertness or distress.
D. Holds persistent negative beliefs about self: Clients with PTSD often have negative beliefs about themselves, feeling guilty, ashamed, or worthless due to their traumatic experiences. This is a key feature of the disorder, reflecting the impact of trauma on self-perception.
E. Difficulty falling or staying asleep: Sleep disturbances, such as difficulty falling asleep or staying asleep, are common in PTSD due to hyperarousal and nightmares. Clients may have disrupted sleep patterns related to the trauma they experienced.
Correct Answer is A
Explanation
A. "Cognitive behavioral therapy can help you confront the beliefs you have about gambling": Cognitive behavioral therapy (CBT) helps clients identify and change maladaptive thought patterns and beliefs related to gambling, making it the most appropriate therapeutic approach.
B. "Systematic desensitization can help you decrease your desire for gambling": Systematic desensitization is typically used for anxiety or phobias and involves gradual exposure to a feared object or situation. It is not a primary treatment for gambling disorder.
C. "Gamblers Anonymous can help you replace irresponsible gambling with controlled gambling": Gamblers Anonymous focuses on abstinence from gambling, not controlled gambling. The goal is to help individuals stop gambling altogether.
D. "Interpersonal therapy can help you identify relationships that may have led to your gambling": While interpersonal therapy can be beneficial for improving relationships, gambling disorder is more effectively addressed through CBT, which focuses on changing the client’s thoughts and behaviors related to gambling.
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