Practice Question
A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?
Answer Choices:
Correct Answer:
Orient the client and monitor vital signs
Rationale:
🔴 Post-ECT clients frequently experience temporary confusion or disorientation due to both the treatment and general anesthesia.
🔴 It is essential for the nurse to monitor vital signs immediately to assess for respiratory or cardiovascular instability.
🔴 Orientation helps reestablish a sense of safety, especially as the client may awaken in an unfamiliar setting.
🔴 Close monitoring supports early identification of adverse effects, such as bradycardia, arrhythmias, or postictal agitation.
🔴The nurse must prioritize neurologic and hemodynamic stabilization before progressing to other tasks like fluid intake or ambulation.
🔴 These interventions reflect priority nursing actions during the immediate recovery phase of anesthesia and ECT.
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This question is from RN ATI Mental Health N200 Exam Cohort 2 which contains 68 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4