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. 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.

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Correct Answer is A

Explanation

A. “If I drink alcohol I will become very sick.”: This statement accurately reflects the purpose of disulfiram. Disulfiram works by causing unpleasant physical symptoms, such as nausea, vomiting, and flushing, if alcohol is consumed, thereby deterring the individual from drinking.

B. “If I drink alcohol I will not be able to fall asleep.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not typically affect sleep patterns directly; its effects are related to the ingestion of alcohol.

C. “If I drink alcohol will lose control of my inhibitions and say something I don’t mean.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not directly affect inhibitions or speech patterns; its effects are related to physical symptoms caused by alcohol ingestion.

D. "If I drink alcohol will have severe mood swings.”: This statement does not accurately reflect the effects of disulfiram. Disulfiram does not typically cause mood swings; its effects are related to physical symptoms induced by alcohol ingestion.

A. Weight gain and dry mouth B. Oliguria and muscle weakness C. Hallucinations and blurred vision D. Coarse hand tremors and confusion

Correct Answer is A

Explanation

A. Weight gain and dry mouth: Weight gain and dry mouth are common adverse effects of lithium at therapeutic levels. They are not immediately dangerous but can affect compliance with the medication regimen.

B. Oliguria (reduced urine output) and muscle weakness are more concerning symptoms. They can indicate potential toxicity, especially oliguria, which suggests possible renal impairment, a serious concern with lithium therapy.

C. Hallucinations and blurred vision are more severe and typically associated with lithium toxicity rather than therapeutic levels. They indicate a need for immediate medical attention.

D. Coarse hand tremors and confusion: Coarse hand tremors and confusion are signs of lithium toxicity. At therapeutic levels, fine hand tremors can occur, but coarse tremors and confusion suggest higher serum levels.These symptoms are associated with toxicity and require urgent medical evaluation.

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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 A

Explanation

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Correct Answer is A

Explanation

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