3. A patient diagnosed with major depressive disorder will begin electroconvulsive therapy tomorrow. Whichinterventions are routinely implemented before the treatment? Select all that apply.a. Administer pretreatment medication 30 to 45 minutes before treatment.b. Withhold food and ﬂuids for a minimum of 6 hours before treatment.c. Remove dentures, glasses, contact lenses, and hearing aids.d. Restrain the patient in bed with padded limb restraints.e. Assist the patient to prepare an advance directive.ANS: A, B, CThe correct interventions reﬂect routine electroconvulsive therapy preparation, which is similar to preoperativepreparation: sedation and anticholinergic medication before anesthesia, maintaining nothing-by-mouth statusto prevent aspiration during and after treatment, airway maintenance, and general safety by removing pros-thetic devices. Restraint is not part of the pretreatment protocol. An advance directive is prepared indepen-dent of this treatment.DIF: Cognitive Level: Application (Applying) REF: Pages: 271-273
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity4. A patient diagnosed with major depressive disorder shows vegetative signs of depression. Which nursing ac-tions should be implemented? Select all that apply.DIF: Cognitive Level: Application (Applying) REF: Pages: 258-259 | Page: 262TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity5. A patient being treated with paroxetine (Paxil) 50 mg/day orally for major depressive disorder reports to theclinic nurse, “I took a few extra tablets earlier in the day and now I feel bad.” Which aspects of the nursing as-sessment are most critical? Select all that apply.DIF: Cognitive Level: Analysis (Analyzing) REF: Page: 267 | Page: 270TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
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