A nurse is caring for a client who is to undergo electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? (Select all that apply.)

Obtain a urine specimen.

Request an ECG.

Obtain a serum parathyroid hormone level.

Check the client's blood pressure.

Witness the informed consent.

Answer and Explanation

Correct Answer : B,D,E

A. Obtain a urine specimen: While a urine specimen might be collected as part of a general pre-procedure workup, it is not considered a primary, mandatory baseline examination for all clients specifically prior to ECT,

B. Request an ECG: An ECG (electrocardiogram) is necessary before ECT to evaluate the client's heart function, as ECT can affect the heart rhythm, and baseline cardiac function should be assessed prior to treatment.

C. Obtain a serum parathyroid hormone level: A serum parathyroid hormone level is not required before ECT. This is not a routine test needed for the procedure unless there is a specific concern about calcium metabolism or parathyroid function, which is unrelated to ECT.

D. Check the client's blood pressure: Monitoring blood pressure is essential before and after ECT, as fluctuations in blood pressure can occur during the procedure, and any pre-existing hypertension or hypotension should be assessed before performing ECT.

E. Witness the informed consent: The nurse is responsible for ensuring that the client has been informed about the procedure, understands the risks and benefits, and signs the consent form. The nurse should witness the informed consent to confirm that it was obtained properly.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Decrease in body temperature: Liothyronine, a synthetic form of thyroid hormone, is used to treat hypothyroidism, which typically results in low body temperature. A decrease in body temperature would not be a therapeutic response to liothyronine.

B. Increase in weight: Weight loss, rather than weight gain, is typically expected as a therapeutic response to liothyronine, especially if the client had weight gain due to hypothyroidism. An increase in weight may indicate that the thyroid hormone dose is insufficient.

C. Increase in energy: An increase in energy is a therapeutic response to liothyronine. Hypothyroidism often leads to fatigue, and as thyroid hormone levels are corrected with liothyronine, clients usually experience a boost in energy levels.

D. Decrease in appetite: A decrease in appetite is not a typical therapeutic response to liothyronine. With adequate thyroid hormone replacement, appetite should stabilize rather than decrease.

A. Alcohol B. Milk C. Grapefruit juice D. Coffee

Correct Answer is A

Explanation

A. Alcohol: Alcohol can interact with glimepiride, a sulfonylurea, and increase the risk of hypoglycemia. It can also impair the liver's ability to release glucose into the bloodstream, which may lead to dangerously low blood sugar levels, especially when consumed in large amounts.

B. Milk: Milk does not interact with glimepiride and is generally safe to consume. It provides some carbohydrates and protein, which can help prevent hypoglycemia.

C. Grapefruit juice: Grapefruit juice is known to affect the metabolism of certain medications, including some antihypertensives and statins, but it does not have a significant effect on glimepiride. It is generally safe to consume.

D. Coffee: Coffee does not have any significant interactions with glimepiride and is generally safe to consume. However, caffeine may cause a mild increase in blood sugar levels, but this effect is typically minimal and not a concern with glimepiride use.

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A nurse is caring for a client who is to undergo electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse take prior to the scheduled ECT? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

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