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    ATI LPN Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure?

    Explanation & Rationale

    A. Disorientation. Temporary confusion and disorientation are common immediately after electroconvulsive therapy (ECT). This occurs due to the brief, induced seizure affecting brain activity. Clients may also experience short-term memory impairment, but orientation typically improves within minutes to hours. B. Paresthesias. Abnormal sensations such as tingling or numbness are not expected effects of ECT. While muscle soreness may occur due to seizure activity, paresthesias are not a typical post-procedure finding. C. Sleep apnea. ECT does not cause sleep apnea. However, clients with pre-existing sleep apnea may require careful monitoring due to anesthetic agents used during the procedure, which could temporarily depress respiratory function. D. Tonic-clonic seizures. ECT induces a controlled seizure lasting about 30 to 60 seconds, but spontaneous seizures should not occur afterward. If a client experiences an unprovoked seizure post-ECT, further evaluation is needed to rule out underlying neurological conditions.

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