A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?
Inform the client of the adverse effect of diarrhea.
Monitor the client for weight loss.
Advise the client about increased dry mouth.
Check the client for increased hypopigmentation under the patch.
The Correct Answer is C
Choice A Reason:
Informing the client of the adverse effect of diarrhea is less common with clonidine use, especially in comparison to other side effects like dry mouth or skin irritation.
Choice B Reason:
Monitoring for weight loss isn't a primary concern specifically associated with transdermal clonidine use.
Choice C Reason:
Advise the client about increased dry mouth. Dry mouth is a common adverse effect of clonidine, including the transdermal form. Patients should be informed about this so they can manage it effectively, for example, by drinking plenty of water or using sugar-free gum or candy to stimulate saliva production.
Choice D Reason:
Hypopigmentation is not a commonly reported issue with transdermal clonidine patches. However, local skin irritation or rash can occur at the site of the patch.
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Correct Answer is C
Explanation
Choice A Reason:
Keeping both arms below the level of the client's heart doesn't specifically address the prevention of lymphedema and might not be necessary for this purpose.
Choice B Reason:
Limiting range-of-motion exercises with the affected arm could potentially contribute to stiffness and reduced function, but appropriate and gradual range-of-motion exercises are generally recommended to prevent lymphedema.
Choice C Reason:
Using the client's left arm to obtain blood samples is correct. Lymphedema can occur due to the disruption of lymphatic vessels during surgery, leading to the accumulation of lymph fluid. To reduce the risk of lymphedema, medical procedures or blood draws should typically avoid using the affected arm. In this case, after a right radical mastectomy, using the left arm for blood samples can help protect the compromised lymphatic system in the right arm.
Choice D Reason:
Obtaining blood pressure readings using the client's right arm is not directly related to preventing lymphedema. However, excessive pressure or trauma to the affected arm should generally be avoided to reduce the risk of lymphedema.
Correct Answer is ["1000"]
Explanation
To lose 0.9 kg (2 lb.) of body fat per week, we can calculate the daily caloric deficit required.
1 lb. of body fat = 3,500 calories
So, for 2 lb. of body fat = 2 * 3,500 = 7,000 calories per week
To lose 0.9 kg (2 lb.) of body fat per week:
7,000 calories ÷ 7 days = 1,000 calories per day
Therefore, the client should reduce their daily caloric intake by approximately 1,000 calories per day to achieve a weight loss of 0.9 kg (2 lb.) of body fat per week.
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