The nurse is caring for a client receiving electroconvulsive therapy (ECT). What is the priority assessment for this client?
1. Orientation
2. Level of consciousness
3. Airway
4. Vital signs
Correct Answer: 3
Rationale 1: Orientation would be the last priority.
Rationale 2: Level of consciousness would be the third priority.
Rationale 3: The client who undergoes ECT receives anesthesia and is intubated while receiving ECT. Immediately following treatment, the client is extubated; therefore, airway is the first priority.
Rationale 4: Vital signs would be the second priority.
Global Rationale: The client who undergoes ECT receives anesthesia and is intubated while receiving ECT. Immediately following treatment, the client is extubated; therefore, airway is the first priority. Orientation would be the last priority. Level of consciousness would be the third priority. Vital signs would be the second priority.
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