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 B

Explanation

A reason: "ECT is contraindicated in clients who have psychotic symptoms." ECT is not contraindicated in clients with psychotic symptoms. In fact, ECT can be an effective treatment for certain types of severe mental illnesses, including those with psychotic features, particularly when other treatments have failed.

B reason: "ECT is delivered through electrodes attached to the head." This statement accurately describes a key aspect of the ECT procedure. Electrodes are placed on the client's scalp to deliver electrical impulses, which induce a brief seizure intended to alleviate symptoms of major depressive disorder.

C reason: "ECT cannot be administered to clients who have suicidal ideation." ECT can be administered to clients with suicidal ideation and is sometimes used when rapid improvement in mood and reduction of suicidal thoughts are needed. It can be an effective treatment option in such cases.

D reason: "ECT is conducted under regional anesthesia." ECT is actually conducted under general anesthesia, not regional anesthesia. General anesthesia ensures the client is unconscious and does not feel pain during the procedure.

A. Grandiosity. B. Flight of ideas. C. Splitting. D. Hyperactivity. E. Withdrawal.

Correct Answer is ["A","B","D"]

Explanation

A reason: Grandiosity. Grandiosity is a common behavior in manic episodes, where the individual may have an inflated sense of self-importance, abilities, or identity.

B reason: Flight of ideas. Flight of ideas involves rapidly shifting from one topic to another with little to no logical connection between them. This is a characteristic behavior during a manic episode.

C reason: Splitting. Splitting, or viewing others as all good or all bad, is more commonly associated with borderline personality disorder. It is not a typical behavior during a manic episode of bipolar disorder.

D reason: Hyperactivity. Hyperactivity, including increased energy, restlessness, and engaging in multiple activities simultaneously, is a hallmark of a manic episode.

E reason: Withdrawal. Withdrawal, or social isolation, is more characteristic of depressive episodes rather than manic episodes of bipolar disorder. During mania, individuals are more likely to be excessively social and active.

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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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