NCLEX-RN Question #667: Real Exam Question with Answer & Explanation

The correct answer is A. Brain tumor or other space-occupying lesion. (A) A contraindication for ECT is a space-occupying lesion such as a brain tumor. During ECT, intracranial pressure increases. Therefore, ECT would not be prescribed for a client whose intracranialpressure is already elevated. (B) Any cardiac dysrhythmias or complications that ar

Question

Two weeks after a client's admission for depression, the physician orders a consult for electroconvulsive therapy (ECT). Which of the following conditions, if present, would be a contraindication for ECT?

Options

ABrain tumor or other space-occupying lesion
BHistory of mitral valve prolapse
CSurgically repaired herniated lumbar disk
DHistory of frequent urinary tract infections

Explanation

(A) A contraindication for ECT is a space-occupying lesion such as a brain tumor. During ECT, intracranial pressure increases. Therefore, ECT would not be prescribed for a client whose intracranialpressure is already elevated. (B) Any cardiac dysrhythmias or complications that arise during ECT are usually attributed to the IV anesthetics used, not to preexisting cardiac structural conditions. (C) Musculoskeletal injuries during ECT are extremely rare because of the IV use of centrally acting muscle relaxers. (D) A history of any kind of infection would not contraindicate the use of ECT. In fact, concurrent treatment of infections with ECT is not uncommon.

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