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?
Advise the client about increased dry mouth.
Check the client for increased hypopigmentation under the patch.
Inform the client of the adverse effect of diarrhea.
Monitor the client for weight loss.
The Correct Answer is A
Choice A rationale
Clonidine can cause dry mouth, which is a common side effect of the medication.
Choice B rationale
Hypopigmentation under the patch is not a common side effect of clonidine and does not need to be monitored.
Choice C rationale
Diarrhea is not a common adverse effect of clonidine. It is not typically associated with the medication.
Choice D rationale
Clonidine is not known to cause weight loss. Monitoring for this is unnecessary. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Aligning the client's joints with the joints on the CPM device frame ensures proper movement and prevents injury or discomfort. Correct alignment is crucial for effective therapy and to avoid strain on the joints.
Choice B rationale
High-Fowler's position is typically used for respiratory issues and does not align with the use of a CPM device for knee arthroplasty. Proper positioning is essential for the device's function.
Choice C rationale
Using a thick pillow to pad the CPM device could interfere with the device's movement and efficacy. Proper padding should ensure comfort without hindering the machine's operation.
Choice D rationale
Setting the degree of flexion and extension as tolerated by the client is important, but it should be done under medical guidance to ensure therapeutic benefits and avoid injury. Alignment is the primary concern.
Correct Answer is D
Explanation
Choice A rationale
Hematocrit (Hct) levels are not directly influenced by warfarin therapy and are not necessary to monitor prior to administering the medication.
Choice B rationale
Blood Urea Nitrogen (BUN) levels measure kidney function and are not directly affected by warfarin therapy.
Choice C rationale
Low-Density Lipoprotein (LDL) levels measure cholesterol and are not affected by warfarin therapy.
Choice D rationale
International Normalized Ratio (INR) is the correct laboratory value to monitor prior to administering warfarin. It measures the effectiveness of anticoagulation therapy and helps to ensure the dosage is appropriate.
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