HESI Registered Nurse EXIT Practice Exam

Which post-procedure nursing intervention is important after electroconvulsive therapy?

1. Applying hard restraints if seizure occurs

2. Expecting client to sleep for 4 to 6 hours

3. Remaining with client until oriented

4. Expecting long-term memory loss

The correct answer is: Remaining with client until oriented

After electroconvulsive therapy (ECT), one of the primary nursing interventions is to ensure the safety and well-being of the client. Remaining with the client until they are oriented is crucial because they may experience confusion, disorientation, or temporary amnesia following the procedure. This support not only helps the client feel secure but also allows the nurse to monitor vital signs and assess any adverse reactions or complications that may arise immediately after the treatment. Engaging with the client during this recovery phase is essential, as they may need reassurance and information about what has occurred during the procedure. Additionally, remaining with the client can facilitate timely intervention if any complications develop, thus ensuring their safety and fostering a therapeutic environment. This approach reflects a patient-centered care model, which emphasizes the importance of emotional support and the provision of information to promote recovery and comfort. After ECT, the expectation of sleeping for several hours is common; however, the critical aspect is ensuring the client is oriented and safe rather than simply monitoring their sleep. While some individuals may experience memory loss, this is not a direct nursing intervention but rather a potential side effect of the treatment. Applying hard restraints, on the other hand, is not a standard practice and can be counterproductive to the client's trust and security.