A patient with severe depression is undergoing electroconvulsive therapy. The patient has a hemodynamic monitor and a monitor of intracranial pressure in place during the procedure. Just after the patient receives the electrical stimulus, the nurse notes that the intracranial pressure increases. Which action is the best response of the nurse?

 

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Correct

- Continue to monitor the patients condition throughout the procedure

- Administer a dose of IV mannitol as ordered

- Administer a dose of epinephrine as ordered

- Assist the patient to wake up

Rationale

Electroconvulsive therapy involves administering an electric shock to produce a seizure effect in the brain, which may help to manage some conditions such as severe depression. During the initial stimulus, the patient may experience an increase in intracranial pressure. This increase is temporary and should resolve quickly without intervention.

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