A nurse is teaching a group of clients about the effects of various substances. Which of the following statements by a client indicates an understanding of the teaching?

Rationale for correct choices:

• Amnesia: GHB is known to cause memory loss or amnesia, particularly retrograde amnesia, which makes the client unable to recall events that occurred during intoxication. This is a common effect of GHB when it is used as a "date rape drug."
• Nausea and vomiting: GHB can cause gastrointestinal symptoms, including nausea and vomiting. This is a well-known side effect, especially when the drug is ingested in larger quantities or in combination with alcohol.
• Respiratory depression: One of the most concerning effects of GHB is respiratory depression. This can be life-threatening, as GHB has a sedative effect on the central nervous system, potentially leading to slow or shallow breathing and, in extreme cases, respiratory failure.

Rationale for incorrect choices:

• Hyperthermia: GHB typically causes sedation and hypothermia rather than hyperthermia. While stimulant drugs (e.g., methamphetamine) can lead to increased body temperature, GHB is more commonly associated with decreased body temperature.
• Tachycardia: GHB does not typically cause tachycardia. It is more likely to cause bradycardia (slower heart rate) or maintain normal heart rates due to its sedative effects.
• Combativeness: GHB is a sedative and CNS depressant, not a stimulant. Therefore, it is unlikely to cause combativeness, which is more typically associated with stimulant drugs like cocaine or methamphetamine.

A. Provide positive reinforcement when the child uses eye contact: Positive reinforcement is an effective strategy for children with autism, especially for improving communication behaviors like eye contact. It encourages social interaction in a non-overwhelming way.
B. Administer haloperidol to the child as prescribed: Haloperidol is an antipsychotic used for certain symptoms in ASD, but its use should be carefully monitored. Medication is not the first line for addressing communication challenges in children with ASD.
C. Administer tranquilizing medications if the child becomes frustrated: Using tranquilizing medications as a first response is inappropriate. Non-pharmacological approaches, like behavior modification, should be prioritized to manage frustration and other symptoms.
D. Instruct the child's guardian on the use of implosion therapy: Implosion therapy, which involves exposing the child to anxiety-provoking situations, is not appropriate for children with ASD. It can increase distress and is not suitable for managing the child's needs.