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
Choice A reason: Sleep apnea isn’t an ECT effect; it’s a chronic breathing disorder. ECT may cause transient respiratory changes intra-procedure, not post. Scientifically, this lacks relevance, as 15-minute post-ECT findings focus on neurological recovery, not sleep-related respiratory patterns.Choice B reason: Paresthesias (tingling) aren’t typical post-ECT; they suggest nerve issues unrelated to brain stimulation. ECT affects cognition, not peripheral sensation. Scientifically, this doesn’t align with expected acute neurological outcomes, which prioritize confusion over sensory disturbances.Choice C reason: Disorientation is common 15 minutes post-ECT due to generalized seizure effects on brain function, impairing memory and awareness. Scientifically, this reflects transient postictal confusion, a standard response as neural activity normalizes, aligning with ECT’s cognitive impact.Choice D reason: Tonic-clonic seizures occur during ECT, not after; post-procedure seizures suggest complications. At 15 minutes, recovery, not new seizures, is expected. Scientifically, this contradicts typical post-ECT progression, where brain stabilizes rather than re-enters convulsive states.