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: Polyphagia. Polyphagia, or excessive eating, is not typically associated with cocaine use. Cocaine often suppresses appetite rather than increasing it.

B reason: Fever. Cocaine use can lead to hyperthermia or elevated body temperature due to increased metabolic activity and stimulation of the central nervous system.

C reason: Bradycardia. Bradycardia, or a slow heart rate, is not a typical response to cocaine use. Cocaine is a stimulant that usually causes tachycardia, or a rapid heart rate.

D reason: Oliguria. Oliguria, or reduced urine output, is not a typical finding associated with acute cocaine use. The drug's immediate effects are more related to cardiovascular and neurological systems.

A. Cognitive reframing. B. Thought stopping. C. Validation therapy. D. Operant conditioning.

Correct Answer is C

Explanation

A reason: Cognitive reframing. Cognitive reframing involves changing the way a person thinks about a situation to reduce stress or anxiety. While useful in some cases, it is not the most appropriate technique for addressing delusions in clients with dementia.

B reason: Thought stopping. Thought stopping is a technique used to interrupt and control intrusive thoughts, often used in cognitive-behavioral therapy. It is not suitable for managing the delusions of a client with dementia.

C reason: Validation therapy. Validation therapy involves accepting the client's perception of reality and responding in a way that acknowledges their feelings and experiences. For a client with dementia who believes a doll is their infant child, validation therapy helps provide comfort and reduces distress by not challenging their beliefs.

D reason: Operant conditioning. Operant conditioning involves using reinforcement to encourage desired behaviors and discourage undesired ones. It is not appropriate for addressing the delusions of a client with dementia, as it does not validate their experiences.

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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

A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who has dementia and insists that a doll is their infant child. Which of the following behavioral management techniques should the nurse use when interacting with the client?

Correct Answer is C

Explanation

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