A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy. The nurse should explain to the client which of the following adverse reactions can occur following the procedure.

Tingling of the scalp

Voice alteration

Neck pain

Temporary memory loss

Answer and Explanation

The Correct Answer is D

A.   Incorrect. Tingling of the scalp is not a common adverse reaction following electroconvulsive therapy (ECT.
B.   Incorrect. Voice alteration is not a common adverse reaction following ECT.
C.   Incorrect. Neck pain is not a common adverse reaction following ECT.
D.   Correct. Temporary memory loss is a common adverse reaction following ECT. Some clients may experience confusion and memory deficits immediately after the procedure, but these effects are typically temporary and resolve as the client recovers from the treatment.

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Correct Answer is A

Explanation

A. Correct. Furosemide is a loop diuretic that helps eliminate excess fluid and sodium from the body by increasing urine production. Increased urinary output is an indication that the medication is effectively managing fluid overload, a common issue in heart failure.

B. Incorrect. While a decreased BUN (blood urea nitrogen. level might occur due to improved kidney function, it is not a direct indicator of furosemide's effectiveness.

C. Incorrect. An increased weight suggests fluid retention, which would not indicate the effectiveness of furosemide.

D. Incorrect. Decreased hemoglobin levels may be due to various factors and are not directly related to the effectiveness of furosemide.

A. Tell the client she should discuss this decision with her family. B. Support the client's decision to stop the treatment. C. Discuss alternative treatment methods with the client. D. Ask the facility chaplain to visit the client.

Correct Answer is B

Explanation

The correct answer is choiceb. Support the client’s decision to stop the treatment.

Choice A rationale:

While discussing the decision with family can be important, the nurse’s primary responsibility is to respect and support the client’s autonomy and decision-making capacity. Encouraging the client to discuss with family is secondary to supporting their decision.

Choice B rationale:

Supporting the client’s decision to stop treatment respects their autonomy and right to make decisions about their own care.This is a fundamental principle in nursing ethics and patient-centered care.

Choice C rationale:

Discussing alternative treatment methods may be appropriate in some contexts, but in this case, the client has already made a decision to stop dialysis. The nurse should focus on supporting this decision rather than suggesting alternatives.

Choice D rationale:

Asking the facility chaplain to visit the client can be supportive, but it should not be the nurse’s primary action. The nurse should first support the client’s decision and then offer additional support services as needed.

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A nurse is reinforcing teaching with a client who is about to undergo electroconvulsive therapy. The nurse should explain to the client which of the following adverse reactions can occur following the procedure.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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