Practice Quiz

NCLEX-RN

Category - Psychosocial

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A nurse is caring for a client who is receiving electroconvulsive therapy. The nurse’s initial action after the client gains consciousness is which of the following?
  1. Provide frequent orientation and reassurance.
  2. Assess the client’s gag reflex.
  3. Instruct the client to void.
  4. Apply soft restraints, as the client tends to get confused and disoriented after ECT.
Explanation
Answer: A - After ECT, short-term memory loss and disorientation usually occur. The nurse needs to provide frequent orientation, in a brief, distinct, and simple manner. Assessment of the gag reflex is appropriate, but it is not a priority right after the client regains consciousness. Voiding is encouraged before the procedure. Use of restraints is not necessary.
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