The nurse is caring for a client scheduled to receive electroconvulsive therapy (ECT). Which is the priority nursing action while caring for this client during the treatment?

  1. monitor the airway and be prepared to provide suction if needed
  2. continuously observe vital signs and cardiac function on the monitor
  3. provide support and safe positioning to the client’s arms and legs during the seizure
  4. record the type, frequency, duration, and amount of movement induced by the seizure
Number 1 is correct.
Rationale: While all actions are an important part of client care during ECT, airway is always the priority. The nurse should be prepared to suction if needed and assist the anesthesiologist with oxygenation as required.