A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

Choice A reason: Opioid analgesics are not typically given before electroconvulsive therapy (ECT). Instead, a general anesthetic and a muscle relaxant are administered to ensure the patient is asleep and to prevent muscle contractions during the procedure. The nurse should inform the client about the medications they will receive before ECT, but opioid analgesics are not usually part of the protocol.

Choice B reason: Confusion and temporary memory loss are common side effects immediately following ECT. Clients should be informed to expect these cognitive effects, which can last for a few hours to days. Educating the client about these side effects helps prepare them for what to expect post-procedure and ensures they have appropriate support during their recovery period.

Choice C reason: Clients are usually instructed to fast (not eat or drink) for a shorter period, typically 6-8 hours, before the procedure to reduce the risk of aspiration during anesthesia. Informing the client to fast for 24 hours is excessive and not in line with standard preoperative fasting guidelines.

Choice D reason: A consent form is required before undergoing ECT. Informed consent is a critical component of the process, ensuring that the client understands the procedure, its benefits, risks, and potential side effects. The nurse must reinforce the importance of obtaining and signing the consent form before proceeding with ECT.

Choice A reason: Hypoactive bowel sounds can indicate a variety of gastrointestinal issues, but they are not typically associated with haloperidol use. While it is important to monitor bowel sounds, it is not the priority in this context.

Choice B reason: Dry mouth is a common side effect of many medications, including haloperidol. While it can be uncomfortable for the client, it is not usually a serious concern and can be managed with hydration and other supportive measures.

Choice C reason: Constant opening and closing of the mouth, also known as tardive dyskinesia, is a serious side effect of haloperidol and other antipsychotic medications. This condition involves involuntary muscle movements and can be irreversible. It is crucial to report this finding to the provider immediately for assessment and potential adjustment of the medication regimen.

Choice D reason: Photosensitivity is not a common side effect of haloperidol. While it is important to monitor for any new or unusual symptoms, photosensitivity is not typically associated with this medication.