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. Voice alteration: Voice alteration is not a typical adverse effect of electroconvulsive therapy (ECT). ECT primarily affects brain function and is not expected to cause changes in vocal function.
B. Neck pain: Neck pain is a potential adverse effect of ECT, particularly related to the positioning of the client during the procedure or muscle stiffness following the seizure induction. It is important to monitor for and address any discomfort or pain experienced by the client.
C. Memory deficit: Memory deficits, particularly short-term memory loss, are common adverse effects of ECT. These deficits are typically temporary and tend to improve over time following completion of the ECT treatment course.
D. Headache: Headache is a potential adverse effect of ECT, particularly following the seizure induction. It may occur due to the physiological effects of the procedure and typically resolves relatively quickly following the completion of the ECT session.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Grandiosity: Individuals experiencing a manic episode may exhibit grandiosity, such as an inflated sense of self-importance, superiority, or power.
B. Flight of ideas: Flight of ideas refers to rapid, continuous speech that jumps from one topic to another, often with loose associations. It is a common manifestation of a manic episode.
C. Splitting: Splitting is a defense mechanism commonly associated with certain personality disorders, such as borderline personality disorder, but it is not typically observed during a manic episode of bipolar disorder.
D. Hyperactivity: Hyperactivity, or increased physical activity, is characteristic of a manic episode. Clients may engage in excessive goal-directed activities or restlessness.
E. Withdrawal: Withdrawal, or social withdrawal, is not a typical behavior during a manic episode. Instead, individuals with mania tend to exhibit increased sociability and extroversion.
Correct Answer is B
Explanation
A. Flight of ideas: This speech pattern is characterized by rapidly shifting from one idea to another that are unrelated or loosely related. It often reflects disorganized thinking seen in conditions like mania or schizophrenia.
B. Word salad: Word salad refers to a jumble of words and phrases that lack coherence or meaning. It typically involves random or illogical word combinations that do not make sense when put together.
C. Neologisms: Neologisms are newly created words or phrases that have meaning only to the individual. They may be completely invented or may have personal significance to the speaker but are not understood by others.
D. Clang associations: Clang associations involve the stringing together of words based on similar sounds rather than logical connections. It often results in rhyming or repetitive speech patterns that lack coherence.
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