A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Voice alteration.

Neck pain.

Memory deficit.

Headache.

Answer and Explanation

The Correct Answer is C

A reason: Voice alteration. Voice alteration is not a common adverse effect of ECT. The procedure typically does not impact vocal cords or speech directly.

B reason: Neck pain. While discomfort and muscle soreness can occur, neck pain is not a primary or common adverse effect specifically associated with ECT.

C reason: Memory deficit. Memory deficits, particularly short-term memory loss, are a well-documented adverse effect of ECT. Clients may experience difficulty recalling recent events before and after treatment.

D reason: Headache. Headache can occur after ECT but is less concerning compared to cognitive side effects like memory deficits. Monitoring for memory changes is crucial.

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Correct Answer is D

Explanation

A reason: "I agree with you. I'm sure this will never happen again." Agreeing with the parent without further investigation is inappropriate and does not address the potential risk to the child. The nurse should gather more information to assess the situation fully.

B reason: "This is awful. You should file charges against your partner." Suggesting that the parent file charges is premature without understanding the full context of the situation. The nurse's role is to gather information, assess the risk, and take appropriate protective actions.

C reason: "This is clearly child endangerment. I will have to call the police." While the nurse has a responsibility to report suspected child abuse, it is important to gather more information first. This response could escalate the situation without a thorough assessment.

D reason: "I'd like to know more about what happened. Let's sit and talk." This response is appropriate as it allows the nurse to gather more information about the situation in a non-confrontational manner. It helps build rapport with the parent while assessing the child's safety.

A. Hallucinations. B. Depression. C. Delusions. D. Catatonia. E. Tinnitus.

Correct Answer is ["B","C"]

Explanation

A reason: Hallucinations. Hallucinations can be distressing and are associated with various mental health conditions, but they are not a direct indicator of suicide risk without other contributing factors.

B reason: Depression. Depression is a significant risk factor for suicide. Clients experiencing persistent sadness, hopelessness, and a lack of interest in life are at a higher risk for attempting suicide.

C reason: Delusions. Delusions, particularly those that are paranoid or nihilistic, can contribute to feelings of hopelessness and despair, increasing the risk of suicide attempts.

D reason: Catatonia. Catatonia involves motor immobility and behavioral abnormality. While it is a serious condition requiring treatment, it is not a direct indicator of suicide risk without other contributing factors.

E reason: Tinnitus. Tinnitus, or ringing in the ears, is not associated with an increased risk of suicide. It is a physical symptom that does not directly influence suicidal behavior.

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A nurse is caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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