Chapter 29: Somatic Therapies

MULTIPLE CHOICE 1. A patient scheduled for an early-morning electroconvulsive therapy (ECT) treatment asks a nurse, “Am I going to be able to eat breakfast before I go for ECT?” Which response by the nurse is most appropriate? a. “No, but you can have your breakfast when you get back to the unit.” b. “You can have a light, liquid breakfast along with your medications.” c. “You may only have enough liquids before the procedure to swallow your allergy medications.” d. “Yes, but you need to get up early so you can fast for 2 to 4 hours before your ECT treatment begins.” ANS: A Patients who receive ECT treatment on an outpatient basis are asked to stay NPO for 6 to 8 hours before treatment to prevent aspiration from general anesthesia. If the patient is taking cardiac, antihypertensive,or H2blocker medications, he or she may do so with a small sip of water several hours before the procedure. Food and liquids can be offered as soon as the patient is awake and can swallow effectively. DIF: Cognitive Level: Application REF: Text Pages: 594-595 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 2. A nurse is assisting in the preprocedure care of a patient scheduled for ECT (electroconvulsive therapy). Which nursing action must be taken immediately before the procedure? a. The electrode sites are shaved and cleaned with a soap and water. b. A blood pressure cuff and the oxygen saturation probe are applied. c. A 12-lead electrocardiogram (ECG) is run and the strip placed in the chart. d. The patient signs an informed consent form allowing for the treatmen