— 心理社會完整性 · MEDIUM · SATA —
病人預計接受電痙攣治療（ECT），護理師在執行前應採取哪些行動？（選所有適合的）
A client is scheduled for electroconvulsive therapy (ECT). Which actions should the nurse take before the procedure? (Select all that apply.)
- AConfirm that informed consent has been obtained✓ 正解確認已取得知情同意書
- BAdminister a prescribed muscle relaxant給予處方之肌肉鬆弛劑
- CKeep the client NPO for at least 6-8 hours✓ 正解術前至少禁食 6-8 小時
- DRemove dentures and glasses✓ 正解移除假牙與眼鏡
- EEncourage the client to drink water just before the procedure鼓勵病人在手術前飲水
— Explanation · 中文詳解 —
ECT 術前護理包含：確認知情同意（A）、維持禁食 6-8 小時以防吸入性肺炎（C）、移除假牙及眼鏡以維護安全（D）。肌鬆劑（B）通常是由麻醉醫師在術中給予，而非護理師術前給予。術前應禁水而非飲水（E）。
Pre-procedure nursing care for ECT includes confirming that informed consent has been obtained (A), maintaining NPO status for 6-8 hours to prevent aspiration pneumonia (C), and removing dentures and glasses to maintain safety (D). Muscle relaxants (B) are typically administered intraoperatively by the anesthesia team, not by the nurse preoperatively. Fluids should be restricted rather than encouraged before the procedure (E).
✦ 台美臨床差異
美國 ECT 相當普遍且有一套標準化門診流程；台灣 ECT 普及度較低，通常需住院執行，且家屬同意之法律程序較複雜。