The nurse is caring for a patient who has had electroconvulsive therapy (ECT) for severe depression. During the recovery period, the patient says to the nurse, "Where am I? What have you done to me?" What action by the nurse is best?
a. Encourage the patient to go back to sleep until the preprocedure medication has worn off.
b. Administer a sedative to help calm the patient.
c. Call the physician and report the patient's response.
d. Explain that the patient is in the hospital and has just had ECT.
ANS: D
The patient may feel confused and forgetful immediately after ECT. This can be from a combination of the ECT and the medication that was used before the treatment. The nurse should be truthful in responding to the patient's questions. A, B, and C avoid, and do not answer, the patient's question.
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