Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A client with major depression is unresponsive to medications and is ordered to undergo electroconvulsive therapy. After the treatment, the nurse assigned to care for the client should implement which of the following interventions?
  1. Assist the client in high Fowler’s position
  2. Reorient the client to time, place, and person frequently
  3. Withhold oral intake for at least 8 hours after the treatment
  4. Apply soft wrist restraints after the treatment
Explanation
Answer: B - Electroconvulsive treatment causes confusion and disorientation, which may increase the client’s level of anxiety. The nurse should reorient the client to time, place, and person frequently. The client should be placed in side-lying position. Oral intake is withheld until the gag reflex returns, which is usually 2 hours after the treatment. Soft restraints are not used unless the client is at risk of self-injury or causing injury to others.
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