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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A reason: A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. This scenario describes negligence, an unintentional tort, where the nurse failed to act with the standard of care expected, leading to a medication error.
B reason: A nurse posted private information on social media about a client who has a substance use disorder. Posting private information without consent is an intentional tort, specifically a breach of confidentiality and invasion of privacy.
C reason: A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. This scenario describes an intentional tort, as the nurse intentionally restrained the client without proper authorization, leading to harm.
D reason: A nurse threatened a client with physical harm after the client became verbally abusive to staff members. Threatening a client with harm is an intentional tort, specifically assault, which involves an intentional act of creating apprehension of harmful contact.
Correct Answer is C
Explanation
A reason: Decreased startle response to loud noises. Clients with PTSD typically have an increased startle response due to hyperarousal. A decreased startle response would not be expected in PTSD.
B reason: Reports uninterrupted sleep of 10 to 12 hours each night. Clients with PTSD often experience sleep disturbances, including nightmares and insomnia. Reporting uninterrupted sleep is not characteristic of PTSD.
C reason: Reluctance to discuss the event that precipitated the distress. Clients with PTSD commonly avoid discussing the traumatic event as a way to avoid triggering distressing memories and emotions. This avoidance behavior is a key symptom of PTSD.
D reason: Reports feelings of acute distress that began 1 to 2 weeks ago. PTSD symptoms usually develop within three months of the traumatic event but can also emerge years later. Acute distress that began 1 to 2 weeks ago may not align with the typical onset pattern of PTSD.
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