A nurse is contributing to the plan of care for a client who is scheduled to receive electroconvulsive therapy (ECT) for the treatment of depression. Which of the following actions should the nurse recommend to include in the plan?
Explanation & Rationale
Choice A Reason: During ECT, the client is under anesthesia, so they should not be awake or able to feel discomfort. Discomfort should be addressed by the anesthesia and ECT team, and the client would not be able to notify the provider during the procedure. Choice B Reason: Clients typically need to be NPO (nothing by mouth) for several hours before ECT, not just 1 hour. This is to reduce the risk of aspiration during the procedure due to the use of anesthesia. Choice C Reason: After ECT, clients may experience confusion or disorientation due to the effects of anesthesia and the procedure itself. Providing frequent reorientation helps in reducing confusion and aiding recovery. Choice D Reason: ECT treatments are usually scheduled more frequently, typically 2 to 3 times per week at the beginning of the treatment course, rather than monthly.