— 心理社會完整性 · HARD · SATA —
護理師對於接受電休克治療（ECT）的個案，下列哪些護理考量是適當的？（選所有適合的）
Which of the following are appropriate nursing considerations for a client undergoing electroconvulsive therapy (ECT)? (Select all that apply.)
- AObtain informed consent before the procedure✓ 正解在治療前取得知情同意
- BMaintain NPO status for at least 4-8 hours before ECT✓ 正解在 ECT 前至少維持 4-8 小時禁食
- CEnsure the client has removed dentures✓ 正解確認個案已移除假牙
- DMonitor for short-term memory loss after the procedure✓ 正解治療後監測短期記憶喪失
- EAdminister muscle relaxants as ordered to prevent injury✓ 正解依醫囑給予肌肉鬆弛劑以預防傷害
— Explanation · 中文詳解 —
電休克治療（ECT）是一種侵入性治療，護理考量需涵蓋術前準備與術後照護。術前必須完成知情同意、維持禁食（NPO）以防全身麻醉後的吸入性肺炎、移除假牙以防呼吸道阻塞。術中給予肌肉鬆弛劑是為了預防強烈肌肉收縮造成的骨折或關節脫位。術後病人常見短期記憶喪失（Short-term memory loss），需進行認知評估與心理支持。
Nursing care for electroconvulsive therapy includes obtaining informed consent, maintaining NPO status to prevent aspiration, and removing dentures to ensure airway patency. Additionally, administering muscle relaxants minimizes the risk of physical injury during convulsions, while monitoring for short-term memory loss addresses common post-procedure side effects.