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Which of the following nursing diagnosis take priority immediately after electroconvulsive therapy (ECT)

Chronic confusion r/t ECT treatment

Activity intolerance r/t weakness

Impaired social interaction r/t confusion

Risk for injury r/t altered mental status

Answer and Explanation

The Correct Answer is D

A. Chronic confusion r/t ECT treatment. Memory impairment may occur but is not the immediate priority.

B. Activity intolerance r/t weakness. Weakness can occur but is not the most urgent concern post-ECT.

C. Impaired social interaction r/t confusion. Social interaction is a lower priority compared to physical safety.

D. Risk for injury r/t altered mental status. Post-ECT, clients may be confused or disoriented, increasing their risk of falls or injury. Ensuring safety is the top priority.

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Correct Answer is C

Explanation

A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.

B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.

C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.

D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.

A. The client has a pleasant affect B. The client appears happy with an elevated mood C. The client self-isolated today D. The client rate their mood 4 out of 10

Correct Answer is D

Explanation

A. The client has a pleasant affect: "Affect" refers to outward emotional expression, whereas "mood" is the client's internal emotional state.

B. The client appears happy with an elevated mood: The nurse should document objective data rather than interpreting the client’s emotions.

C. The client self-isolated today: While self-isolation may indicate mood disturbances, it does not directly document the client’s reported mood.

D. The client rates their mood 4 out of 10: This entry reflects the client’s subjective report using a measurable scale, making it the most accurate documentation.

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Which of the following nursing diagnosis take priority immediately after electroconvulsive therapy (ECT)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following medications can cause serotonin syndrome?

Correct Answer is C

Explanation

Which entry made my nurse most accurately documents a client's mood?

Correct Answer is D

Explanation

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