For clients receiving ECT for depression, which of the following should the nurse monitor closely post-procedure?

Monitoring the level of consciousness and orientation after electroconvulsive therapy (ECT) is crucial because the procedure can temporarily affect cognitive functions. ECT can result in transient confusion and disorientation as well as alterations in consciousness due to the anesthetic used during the procedure and the electrical stimulation of the brain. Nurses should assess the client for these changes to ensure their safety and to determine when they have returned to their baseline cognitive functioning.

This focus on level of consciousness and orientation allows healthcare providers to identify potential complications early, ensuring appropriate interventions can be implemented if necessary. Additionally, understanding how well the patient can respond to their environment and prepare them for post-procedural care entails ensuring they are fully aware and alert.

While monitoring food and liquid intake, response to verbal commands, and muscle coordination and strength are certainly relevant aspects of post-ECT care, they do not carry the same immediate risk associated with impairment in consciousness and orientation, which can lead to safety hazards if not addressed promptly. Thus, the emphasis on monitoring level of consciousness and orientation highlights the priority of patient safety and cognitive assessment following ECT.