ECT and Brain Stimulation Therapies · NCLEX Exam

Which pre-procedure nursing action is most appropriate for a patient scheduled for Electroconvulsive Therapy (ECT)?

  1. Withhold all food and fluids for a full 24 hours before the procedure.
  2. Ensure informed consent is signed after discussing risks and benefits.
  3. Perform the mental-status assessment only after the procedure is done.
  4. Give the usual morning antidepressant just before transport to the suite.
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Correct answer: Ensure informed consent is signed after discussing risks and benefits.

Informed consent is a fundamental nursing responsibility prior to ECT, including discussion of risks, benefits, alternatives, and the procedure itself. Pre-procedure fasting is shorter (usually 6–8 h) for anesthesia, not 24 h; mental-status baseline should be recorded before the procedure for comparison; administering usual antidepressants just before ECT may increase risk of complications.

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