Question

The nurse is documenting a care plan for a client who has undergone electroconvulsive therapy (ECT). The nurse should include which intervention?

1. Monitoring the client's vital signs every hour for 4 hours
2. Placing the client in Trendelenburg's position
3. Encouraging early ambulation
4. Reorienting the client to time and place

Answer 1

The nurse should include the intervention of monitoring the client's vital signs every hour for 4 hours in the care plan for a client who has undergone electroconvulsive therapy (ECT).

Step-by-step explanation:

The nurse should include the intervention of monitoring the client's vital signs every hour for 4 hours in the care plan for a client who has undergone electroconvulsive therapy (ECT). This is important to assess the client's physiological response to the therapy and to monitor for any adverse effects that may occur. The nurse can use this opportunity to check the client's blood pressure, heart rate, respiratory rate, and temperature.

Placing the client in Trendelenburg's position is not necessary for post-ECT care. Encouraging early ambulation may be appropriate after the client has recovered from the procedure, but it is not a priority intervention immediately after ECT. Reorienting the client to time and place is important for overall care, but it is not specific to ECT.