RUHS, Jaipur, PB B.Sc Nursing Entrance-2023
Mental Health Nursing
Medium
Which of the following is not advised before giving ECT?
Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2023
Explanation
- Electroconvulsive Therapy (ECT) is performed under general anesthesia with muscle relaxants.
- To prevent the life-threatening risk of aspiration of gastric contents into the lungs, patients must have an empty stomach.
- Therefore, patients are kept NPO (nothing by mouth), meaning no food or fluids, for at least 6-8 hours before the procedure.
- Providing 'plenty of fluids' directly contradicts this essential safety protocol.
Why Other Options Were Wrong
- Option B: This is an advised and necessary action. Makeup, particularly nail polish and lipstick, can interfere with the assessment of circulation (cyanosis) and the functioning of the pulse oximeter.
- Option C: This is an advised and necessary action. Loosening tight clothing ensures patient comfort, prevents any restriction of breathing or circulation, and allows for the proper placement of monitoring equipment like ECG electrodes.
- Option D: This is a critical safety precaution. Metallic articles (jewelry, hairpins, etc.) can conduct electricity, leading to burns. Removable items like dentures can also become dislodged and obstruct the airway during the induced seizure.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pre-procedure nursing care for Electroconvulsive Therapy (ECT) as background academic context rather than a clinical decision trigger.
- The nurse's role in meticulously preparing a patient for ECT is paramount to ensuring safety and preventing complications like aspiration pneumonia, burns, or physical injury.
- Failure to adhere to the pre-procedure checklist, especially NPO status, is a serious patient safety event that must be reported.
- What if? If the nurse discovers the patient has consumed water 2 hours before the scheduled ECT, the nurse must immediately notify the psychiatrist and anesthesiologist. The procedure will almost certainly be postponed to allow adequate time for gastric emptying, thus preventing the risk of aspiration.
How to Approach the Question
- First, identify the negative keyword 'not' in the question stem. This tells you that three of the options are correct, advised actions, and you are looking for the one that is contraindicated.
- Next, recall the context: Electroconvulsive Therapy (ECT). This procedure involves inducing a seizure under general anesthesia.
- Think about the standard safety protocols for any procedure involving general anesthesia. The most critical rule is to prevent aspiration.
- Evaluate each option against this safety principle. 'Plenty of fluids' directly violates the NPO (nothing by mouth) rule required to prevent aspiration.
- Confirm that the other options (removing makeup, loosening clothes, removing metal) are all standard safety and monitoring preparations for such a procedure.
Concept Tested & Keywords
- Concept Tested: Pre-procedure nursing care for Electroconvulsive Therapy (ECT).
- Stem keywords: ECT, not advised, before giving
- Lead-in keywords: not
- Negative lead-in flag: Question asks what is NOT advised
Question ID
Qh_PZYxDIXfDZFWy49iEI9
Reference Book
E6 Guide to Mental Health & PSYCHIATRIC NURSING R Sreevani— Part 1 (pp 26-289 of 579) p. 142-144
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2302-2304
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 11181-11183
Practise the full RUHS, Jaipur, PB B.Sc Nursing Entrance-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Treatment modalities and therapies used in mental disorders Questions
- Based on the knowledge of electroconvulsive treatment, the nurse explains to the student nurses that atropine is given before the treatment primarily…
- Modified ECT is not given frequently on routine practice because of:
- What is the difference in regular ECT and modified ECT?
- The following are the indications of electroconvulsive therapy; EXCEPT:
- The absolute contraindication for electroconvulsive therapy is:-
- Nurse attending to a patient receiving electroconvulsive therapy (ECT) in a psychiatry department should ensure the compliance of all of the followin…
- \ \ \ \ \ \ is a family therapy approach that focuses on both the biological and the psychosocial components of a problem?
- The techniques of psychoanalysis include the following, EXCEPT?
- Which of the following is NOT true regarding Brief Cognitive Therapy?
- Which of the following equipment should be kept ready to use before ECT?
More RUHS, Jaipur, PB B.Sc Nursing Entrance-2023 Questions
- Myocardium is -
- The number of thoracic vertebrae is -
- Which of the following synthesizes lipids and steroid hormones in cells?
- Which type of leucocyte is associated with allergic reaction?
- Megaloblastic anemia is associated with deficiency of-
- In which condition blood viscosity increases and raises the risk of Intravascular clotting?
- Blood flow in pulmonary veins is-
- The p wave in ECG represents-
- The left common carotid artery arises from-
- Which of the following is largest lymphoid organ?