A client is a potential candidate for electroconvulsive therapy and is in the pretreatment evaluation process. Which of the following orders should the nurse question?
A) Obtain a complete metabolic panel and electrocardiography.
B) Inform client to fast after midnight the day before the procedure.
C) Obtain baseline of symptoms.
D) Administer succinylcholine.
Ans: D
Feedback:
From a medical standpoint, clients should undergo a complete health history and physical examination. Laboratory and diagnostic tests should include a blood count, evaluation of electrolyte levels, complete metabolic panel, electrocardiography (ECG), and chest x-ray. From a psychiatric standpoint, a baseline of symptoms should be recorded against which clinicians can monitor progress and symptom alleviation. Administration of succinylcholine occurs in the procedure process.
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