NCLEX Practice Test

Which action is appropriate when preparing a client for electroconvulsive therapy (ECT)?

1. A bite block will be placed in the client's mouth

2. The client will receive a muscle relaxant and short-acting anesthetic

3. The client should be NPO for 6-8 hours before the procedure

4. The agent with medical power of attorney should sign the informed consent document

The correct answer is: A bite block will be placed in the client's mouth

The most appropriate action when preparing a client for electroconvulsive therapy (ECT) involves administering a muscle relaxant and short-acting anesthetic. This is crucial because ECT induces a seizure deliberately, and the use of these medications minimizes the risk of injury and helps ensure the patient's safety and comfort during the procedure. The muscle relaxant prevents severe muscle contractions, while the anesthetic ensures that the client does not experience the procedure consciously or remember it afterwards. Other considerations, such as placing a bite block, are part of the safety protocols but do not provide the same level of preventative measures as sedation and muscle relaxation. While being NPO for 6-8 hours is a standard precaution before many procedures involving anesthesia, what's emphasized in ECT preparation is the administration of relaxants and sedatives first and foremost. The involvement of an agent with medical power of attorney for consent is also relevant but is typically managed before the procedural preparations are initiated rather than being a direct preparation action.