A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?

Choice A reason: Voice alteration isn’t linked to ECT; it affects brain function, not vocal cords. Post-procedure, neurological effects dominate, not laryngeal changes.

Choice B reason: Neck pain may occur from positioning, but it’s not a primary ECT reaction. Muscle relaxants minimize strain, making this less common.

Choice C reason: Scalp tingling could stem from electrodes, but it’s rare and minor. ECT’s electrical impact targets memory and mood, not sensory nerves.

Choice D reason: Temporary memory loss is a well-documented ECT side effect, from disrupted hippocampal function. It’s expected, often resolving, and key to inform clients.

Choice A reason: Family history informs genetic risks, not current mobility needs for therapy. Scientifically, it’s less relevant than functional data, as physical therapy focuses on present deficits, not hereditary patterns, making this secondary for referral purposes.

Choice B reason: Prior medications provide context but don’t detail current physical status for therapy goals. Scientifically, recent assessments outweigh past drug use, as therapists need functional baselines, not historical pharmacology, for effective planning.

Choice C reason: Physical assessment findings (e.g., strength, range of motion) directly inform therapy needs, setting baselines for intervention. Scientifically, this data drives rehabilitation plans, aligning with evidence-based practice to target specific deficits for mobility recovery.

Choice D reason: Insurance claims are administrative, not clinical, data. They don’t guide therapy goals or interventions. Scientifically, financial details are irrelevant to physical assessment, making this inappropriate for a referral focused on functional restoration.