NCLEX-PN

Category - Psychosocial Integrity

The nurse is caring for a client who is scheduled for electroconvulsive therapy. The nurse should include the following interventions in the plan of care except:
  1. Verify that the consent form has been signed
  2. Offer a light snack at least 2 hours before the therapy
  3. Withhold lorazepam (Ativan) for nighttime sedation
  4. Ask the client to void before the treatment
Explanation
Answer: B - The client should not take anything by mouth approximately 8 hours before the therapy. A consent form should be signed and nighttime sedatives like benzodiazepines and barbiturates should be eliminated because of their ability to raise the seizure threshold. Ask the client to urinate, as seizure-induced incontinence is common.
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