Which data would a nurse document as being an adverse event after ECT (electroconvulsive therapy) treatment?
a. Systolic pressure 30 points above baseline at 30 minutes posttreatment
b. Complaints of muscle weakness continuing for 2 hours posttreatment
c. Disorientation to time and place lasting 45 minutes posttreatment
d. Complaints of nausea continuing for 4 hours posttreatment
D
Adverse events associated with ECT treatment include prolonged periods of confusion or disorientation, recurrent nausea or headaches, and elevated blood pressure that do not remit after several hours following ECT treatment.
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The nurse has completed a community presentation about the changes of pregnancy. Which statement by a community member indicates that learning has occurred? "One probable or objective change of pregnancy is:
1. "Enlargement of the uterus." 2. "Hearing the baby's heart rate." 3. "Increased urinary frequency." 4. "Nausea and vomiting."
The perinatal nurse notes a rapid decrease in the fetal heart rate that does not recover immediately following an amniotomy. The most likely cause of this obstetrical emergency is:
A) Prolapsed umbilical cord B) Vasa previa C) Oligohydramnios D) Placental abruption
The mother of a small child asks the nurse if she should keep ipecac syrup handy in case her three-year-old "swallows something he shouldn't." The nurse's best response is:
a. "No, just call 911 and the EMTs will administer it for you." b. "Yes, but call the Poison Control Center before you give it." c. "No, ipecac syrup should only be given under medical supervision." d. "Yes, but make sure it is out of your child's reach."
A person is receiving oxygen. When measuring temperature, you cannot use the:
a. Oral site b. Rectal site c. Axillary site d. Tympanic membrane site