A depressed patient is to have his first electroconvulsive therapy (ECT) session tomorrow morning. Which intervention would routinely be implemented in preparing the patient for treatment?
a. Explaining that 20 or more treatments will be needed
b. Advising the patient that memory loss is usually transient
c. Preparing the patient to be restrained during the procedure
d. Educating the patient about how ECT will end his depression
B
Electroconvulsive treatment may cause memory loss; such loss is usually transient and improves after treatments are completed. Most patients respond to a course of treatment involving 12 to 15 sessions of ECT. Restraint is not part of pretreatment protocol. ECT improves depression and can interrupt an episode of depression, but its effects are not lasting and may not improve the depression completely. Antidepressant medications or periodic additional sessions of ECT are indicated to reduce recurrence in most patients.
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A patient states during the interview that she noticed a new lump in the shower a few days ago. It was on her left breast near her axilla. The nurse should plan to:
a. Palpate the lump first. b. Palpate the unaffected breast first. c. Avoid palpating the lump because it could be a cyst, which might rupture. d. Palpate the breast with the lump first but plan to palpate the axilla last.
During the assessment of a client's eyes, the nurse suspects the client has entropion. Which assessment data caused the nurse to come to this conclusion?
1. Eversion of the lower eyelid. 2. Inversion of the lid and eyelashes. 3. Swollen, red hair follicles. 4. Firm, non-tender nodule on the eyelid.
What is the nurse's best proof against malpractice?
a. The nurse supervisor's memory of the event b. Recorded documentation written carelessly c. The nurse's memory of the event d. Recorded documentation of nursing care
The nurse is planning on providing primary intervention education for patients at risk for suicide. Which role will the nurse most likely assume?
1. Teaching first responders the signs of increased risk for suicide 2. Teaching a group of parents about the signs of suicidal gestures 3. Teaching a patient about re-establishing a healthy sense of self 4. Teaching community members about resources available to prevent a suicide attempt