THERAPY QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
A nurse administers pure oxygen to a client during and after electroconvulsive
therapy treatment. What is the nurse's rationale for this procedure?
A. To prevent increased intracranial pressure resulting from anoxia
B. To prevent hypotension, bradycardia, and bradypnea due to electrical
stimulation
C. To prevent anoxia due to medication-induced paralysis of respiratory muscles
D. To prevent blocked airway resulting from seizure activity
ANS: C
The nurse administers 100% oxygen during and after electroconvulsive therapy to
prevent anoxia due to medication-induced paralysis of respiratory muscles.
Electroconvulsive therapy is the induction of a grand mal seizure through the application
of electrical current to the brain.
Immediately after electroconvulsive therapy, in which position should a nurse
place the client?
A. On his or her side to prevent aspiration
B. In semi-Fowler's position to promote oxygenation
, C. In Trendelenburg's position to promote blood flow to vital organs
D. In prone position to prevent airway blockage
ANS: A
The nurse should place a client who has received electroconvulsive therapy on his or
her side to prevent aspiration. After the treatment, most clients will awaken within 10 to
15 minutes and will be confused and disoriented. Some clients will sleep for 1 to 2
hours. All clients require close observation following treatment.
A nursing instructor is teaching about electroconvulsive therapy (ECT). Which
student statement indicates that learning has occurred?
A. "During ECT a state of euphoria is induced."
B. "ECT induces a grand mal seizure."
C. "During ECT a state of catatonia is induced."
D. "ECT induces a petit mal seizure."
ANS: B
Electroconvulsive therapy is the induction of a grand mal seizure through the application
of electrical current to the brain for the purpose of decreasing depression.
A chronically depressed and suicidal client is admitted to a psychiatric unit. The
client is scheduled for electroconvulsive therapy (ECT). During the course of ECT
treatments, a nurse should recognize the continued need for which critical
intervention?
A. Suicide assessment must continue throughout the ECT course of treatment.