A nurse is planning care for a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following medications should the nurse anticipate administering prior to the procedure?

Atropine

Diphenhydramine

Fluoxetine

Epinephrine

Answer and Explanation

The Correct Answer is A

A. Atropine is an anticholinergic commonly administered before ECT to decrease secretions and reduce the risk of bradycardia during the procedure.

B. Diphenhydramine is an antihistamine used for allergies or mild sedation but is not indicated in the ECT pre-procedure protocol.

C. Fluoxetine is an SSRI used for depression but should typically be held or managed carefully in clients receiving ECT, as some antidepressants can interfere with seizure threshold.

D. Epinephrine is used in emergency situations such as anaphylaxis or cardiac arrest and is not part of the routine pre-ECT medication regimen.

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Correct Answer is D

Explanation

A. Drinking 2 liters of fluids daily is appropriate and helps maintain adequate hydration, which is important in preventing lithium toxicity.

B. Foods high in tyramine interact with MAOIs, not lithium; this is not a relevant concern for lithium therapy.

C. Consuming 2 to 3 grams of sodium daily is within the normal dietary range and supports stable lithium levels, as lithium and sodium compete for reabsorption in the kidneys.

D. Running 4 miles outdoors daily can lead to excessive sweating and dehydration, which can concentrate lithium levels in the blood and increase the risk of toxicity. Adequate hydration and monitoring sodium loss are critical during heavy physical activity.

A. Dystonia B. Diarrhea C. Excess salivation D. Increased agitation

Correct Answer is A

Explanation

A. Dystonia, a type of extrapyramidal symptom (EPS), is a common adverse effect of haloperidol, especially during the early phase of treatment. It involves involuntary muscle contractions, often affecting the neck, face, or eyes.
B. Diarrhea is not a typical adverse effect of haloperidol; constipation is more likely due to its anticholinergic properties.
C. Excess salivation is more commonly associated with other medications such as clozapine. Haloperidol may cause dry mouth instead.
D. Increased agitation may occur in rare cases but is not a common or expected adverse effect; haloperidol is generally used to reduce agitation in acute psychosis.

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A nurse is planning care for a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following medications should the nurse anticipate administering prior to the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

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