During a course of 12 electroconvulsive therapy (ECT) procedures, an anxious client diagnosed with major depression refuses to bathe or attend group therapy. He reports some memory problems and says he has trouble figuring out what time of day it is
At this time, which of the following nursing diagnoses should be assigned to this client? Select all that apply. A. Anxiety R/T post-ECT confusion and memory loss
B. Risk for injury R/T post-ECT confusion and memory loss
C. Risk for activity intolerance R/T post-ECT confusion and memory loss
D. Altered sensory perception R/T post-ECT confusion and memory loss
E. Social isolation R/T post-ECT confusion and memory loss
A, B, C, E
Because of the post-ECT thought alterations of confusion and memory loss, the client is anxious, is accident prone, and has socially isolated self. Altered sensory perception is related to psychotic thoughts of a sensory nature such as hallucinations, and because this client is diagnosed with major depression, not schizophrenia, altered sensory perception would not be anticipated.
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