Page 2265 - Saunders Comprehensive Review For NCLEX-RN

client biting the tongue.
7. An electrical stimulus is administered; a brief seizure
occurs.
E. Postprocedure
1. The client is transported to a recovery area with the
blood pressure cuff and oximeter in place, where
oxygen, suction, and other emergency equipment are
available.
2. Client wakes about 15 minutes after procedure.
3. When the client is awake, talk to the client and take
vital signs.
4. The client may be confused and disorientated for
several hours; provide frequent orientation (brief,
distinct, and simple) and reassurance.
5. The client returns to the nursing unit when at least a
90% oxygen saturation level is maintained, vital signs
are stable, and mental status is satisfactory.
6. Assess for a gag reflex before giving the client fluids,
food, or medication.
F. Potential side effects
1. Confusion, disorientation, and short-term memory
loss
2. The client may be confused and disoriented on
awakening.
3. Other side effects include headache, hypotension,
muscle soreness, nausea, and tachycardia.
4. Memory deficits may occur, but memory usually
recovers completely, although some clients have
memory loss lasting 6 months.

Monitor both a depressed client and a client who has recently

been prescribed an antidepressant medication closely for signs of
suicidal ideation. If the client presents with increased energy, monitor
closely, because it could mean that the client now has the energy to
perform the suicide act.
XI. Schizophrenia
A. Description
1. Schizophrenia is a group of mental health problems
characterized by psychotic features (hallucinations
and delusions), disordered thought processes, and
disrupted interpersonal relationships.

2. Disturbances in affect, mood, behavior, and

thought processes occur.
3. Treatment with medication controls symptoms
associated with the mental health problem.
B. Assessment (Fig. 65-1)

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